Libertyville Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

LIBERTYVILLE PODIATRY PC

Practice address

1870 W Winchester Rd Ste 246
Libertyville, IL 60048-5360

Phone

(847) 816-3156

Fax

(847) 816-9724

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Daniel C Surowiec, DPMNPI 1821001520

Title

Owner

Phone

(847) 816-3156

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Daniel C Surowiec, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Libertyville, IL
  • NPI 1821001520
  Medicare reassignment Care Compare group NPD Authorized official
• Jared Hart, DPM

  • Foot & Ankle Surgery Podiatrist
  • Libertyville, IL
  • NPI 1437611324
  Medicare reassignment Care Compare group NPD
• Kaitlyn Nicole Vu, DPM

  • Foot & Ankle Surgery Podiatrist
  • Libertyville, IL
  • NPI 1649910696
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1346541158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 246",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485360",
            "telephone_number": "847-816-3156",
            "fax_number": "847-816-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 246",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485360",
            "telephone_number": "847-816-3156",
            "fax_number": "847-816-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTYVILLE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "SUROWIEC",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-816-3156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4933497",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DR4991",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Libertyville Neurosurgery, LLC
• Libertyville OBGYN S.C.
• Libertyville Oral Surgery PC
• Libertyville Pediatric Dentistry
• Libertyville Podiatry
• Libertyville School District #70
• Libertyville Skilled Nursing Facility LLC
• Libertyville Wellness Group, Inc
• Lauren Marie Libutti, RN, IBCLC
• Lifeplace, Inc.

• Foot & Ankle Surgery Podiatrist in Libertyville, IL
• Providers in Libertyville, 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 Aug 12, 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.