Active NPI
Dennis J Wolny DPM PC
- Podiatrist
- Park Forest, IL
National Provider Identifier
1194908657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016002426
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480028173 | Other | IL | RR MEDICARE |
| 0060000165 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Olympia Fields, IL
- NPI 1619983061
-
- Foot & Ankle Surgery Podiatrist
- Chicago Heights, IL
- NPI 1285083352
Podiatrist
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.