NPI 1679587786 · live from the CMS NPI Registry
Robert Bandyk, DPM
Podiatrist in Lansing, IL. National Provider Identifier 1679587786, active.
NPI record
| NPI | 1679587786 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 18503 Torrence Ave, Lansing, IL 60438 |
| Practice phone | 708-474-1900 |
| Enumerated | July 27, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
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.