NPI 1679665376 · live from the CMS NPI Registry
Andrzej Wojewoda Podiatry PC
Podiatrist in Niles, IL. National Provider Identifier 1679665376, active.
NPI record
| NPI | 1679665376 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 7042 N Milwaukee Ave, Niles, IL 60714 |
| Practice phone | 847-609-1335 |
| Mailing address | 8044 W Cedar Ln, Niles, IL 60714 |
| Enumerated | September 29, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Andrzej Wojewoda, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 016005197 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.