David B Hiltzik PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-004380 Issued in IL

Legal business name

DAVID B HILTZIK PC

Practice address

1720 Grand Ave
Waukegan, IL 60085-3502

Phone

(847) 336-3338

Fax

(847) 336-0683

NPI assigned

Oct 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David B Hiltzik, DPMNPI 1235238155

Title

Pres

Phone

(847) 336-3338

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Brian Hiltzik, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Waukegan, IL
  • NPI 1235238155
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1073765970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853502",
            "telephone_number": "847-336-3338",
            "fax_number": "847-336-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853502",
            "telephone_number": "847-336-3338",
            "fax_number": "847-336-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 W Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600874919",
            "country_code": "US",
            "telephone_number": "847-336-3338",
            "fax_number": "847-336-0683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID B HILTZIK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "HILTZIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "847-336-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004380",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Mariah Dancel
• Robert H Dandino, D.D.S.
• Marquesa Daniels
• Moniqua Daniels
• Daram H Reddy MD
• Scott Davidson
• Davieon Davis-McBride
• Richard Andrew Davis
• Saul Davis
• Tracy A. Davis, B.S.

• Foot & Ankle Surgery Podiatrist in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.