Organization Active NPI

Dennis J Wolny DPM PC

  • Podiatrist
  • Park Forest, IL
National Provider Identifier
1194908657
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016002426 Issued in IL
Legal business name
DENNIS J WOLNY DPM PC
Practice address
251 Founders Way
Park Forest, IL 60466-0142
Phone
(708) 748-6292
Fax
(708) 748-6988
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Dr. Dennis J Wolny, DPM PC
Title
President
Phone
(708) 748-6292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016002426 IL Primary

Addresses

Primary practice location

251 Founders Way
Park Forest, IL 60466-0142

Mailing address

PO Box 142
251 Founders Way
Park Forest, IL 60466-0142
Phone (708) 748-6292

Other identifiers 2

IdentifierTypeStateIssuer
480028173OtherILRR MEDICARE
0060000165OtherILBCBS

National Provider Directory

National Provider Directory

Locations

275 201st St
Chicago Heights, IL 60411
Phone (708) 748-6292

251 Founders Way
Park Forest, IL 60466
Phone (708) 748-6292

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1194908657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "address_2": "251 FOUNDERS WAY",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604660142",
            "telephone_number": "708-748-6292",
            "fax_number": "708-748-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 FOUNDERS WAY",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604660142",
            "telephone_number": "708-748-6292",
            "fax_number": "708-748-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J WOLNY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "WOLNY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-748-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM PC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016002426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480028173",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060000165",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.