Organization Active NPI

MSW DPM Inc

Doing business as Lincoln Park Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1093377061
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MSW DPM INC
Doing business as
Lincoln Park Podiatry
MSW, DPM Inc.
Practice address
1617 N Clybourn Ave
Chicago, IL 60614-5507
Phone
(773) 327-0006
NPI assigned
Jul 1, 2019
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Katie Werner, CPC CPMA
Title
Credentialing Manager
Phone
(630) 261-9286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1617 N Clybourn Ave
Chicago, IL 60614-5507

Mailing address

1617 N Clybourn Ave
Chicago, IL 60614-5507
Phone (773) 327-0006

Other names 2

  • Lincoln Park Podiatry Doing business as
  • MSW, DPM INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112002912 IL Part B Supplier - Clinic/Group Practice 9537591508 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1617 N Clybourn Ave
Chicago, IL 60614
Phone (773) 327-0006

2752 N Southport Ave
Chicago, IL 60614
Phone (773) 327-0006

2752 N Southport Ave
Ste 1
Chicago, IL 60614

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1093377061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145507",
            "telephone_number": "773-327-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145507",
            "telephone_number": "773-327-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSW DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "630-261-9286",
        "authorized_official_credential": "CPC CPMA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MSW, DPM INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MSW, DPM INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.