NPI 1669644548 · live from the CMS NPI Registry
Bandyk Podiatry
Podiatrist in Lansing, IL. National Provider Identifier 1669644548, active.
NPI record
| NPI | 1669644548 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 18503 Torrence Ave, Lansing, IL 60438 |
| Practice phone | 708-474-1900 |
| Enumerated | March 31, 2008 |
| Last updated | June 11, 2008 |
| Authorized official | Robert Bandyk, Dr |
| Other names | Bandyk Podiatry |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 016-004010 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.