Active NPI
Dennis J Wolny, DPM PC
- Podiatrist
- Park Forest, IL
National Provider Identifier
1588714372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Practice address
- 251 Founders Way
Park Forest, IL 60466-0142 - Phone
- (708) 748-6292
- Fax
- (708) 748-6988
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060000165 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1588714372",
"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": {
"last_name": "WOLNY",
"first_name": "DENNIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"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 Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.