Individual provider Active NPI

Corey Czarnecki, DPM

  • Primary Podiatric Medicine Podiatrist
  • Oswego, IL
National Provider Identifier
1679197644
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
135.001103 Issued in IL
Practice address
3963 US Highway 34
Oswego, IL 60543-8950
Phone
(630) 551-3338
Fax
(949) 862-3678
NPI assigned
Jun 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016006018 IL
Primary Podiatric Medicine Podiatrist 213EP1101X 135.001103 IL Primary

Addresses

Primary practice location

3963 US Highway 34
Oswego, IL 60543-8950

Mailing address

3963 US Highway 34
Oswego, IL 60543-8950
Phone (630) 551-3338

Other practice location 1

810 E Division St
Coal City, IL 60416-1338
Phone (815) 634-2324

Other practice location 2

27754 Blue Grass Dr Unit D
Channahon, IL 60410-8783
Phone (815) 521-9347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001676 IL Practitioner - Podiatry 3577980903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox River Foot and Ankle Center PCGroup PAC ID 3779570296, 2 clinicians

Practice addresses (Care Compare)

810 E Division St
Coal City, IL 60416-1338
Phone (815) 634-2324

Hospital & facility affiliations

  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue63
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016006018ILMDPodiatrist
135.001103ILMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox River Foot & Ankle Center PC Podiatrist CurrentSince Sep 8, 2025 Accepting new patients
Fox River Foot & Ankle Center PC Podiatrist PastSince Apr 13, 2025 Accepting new patients

Locations

27754 Blue Grass Dr
Unit D
Channahon, IL 60410

27754 Blue Grass Dr
Channahon, IL 60410
Phone (815) 521-9347

810 E Division St
Coal City, IL 60416
Phone (815) 634-2324

3963 US Highway 34
Oswego, IL 60543
Phone (630) 551-3338

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1679197644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438950",
            "telephone_number": "630-551-3338",
            "fax_number": "949-862-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438950",
            "telephone_number": "630-551-3338",
            "fax_number": "949-862-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 E Division St",
            "address_purpose": "LOCATION",
            "city": "Coal City",
            "state": "IL",
            "postal_code": "604161338",
            "country_code": "US",
            "telephone_number": "815-634-2324",
            "fax_number": "949-862-3678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27754 Blue Grass Dr Unit D",
            "address_purpose": "LOCATION",
            "city": "Channahon",
            "state": "IL",
            "postal_code": "604108783",
            "country_code": "US",
            "telephone_number": "815-521-9347",
            "fax_number": "949-862-3678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZARNECKI",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016006018",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "135.001103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.