Andrzej Wojewoda Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ANDRZEJ WOJEWODA PODIATRY PC

Practice address

7042 N Milwaukee Ave
Niles, IL 60714-4423

Phone

(847) 609-1335

NPI assigned

Sep 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrzej Wojewoda, DPMNPI 1346276110

Title

President

Phone

(847) 609-1335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrzej Wojewoda, D.P.M

  • Podiatrist
  • Niles, IL
  • NPI 1346276110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679665376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 W CEDAR LN",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142701",
            "telephone_number": "847-609-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7042 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144423",
            "telephone_number": "847-609-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRZEJ WOJEWODA PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOJEWODA",
        "authorized_official_first_name": "ANDRZEJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-609-1335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Niles, IL
• Providers in Niles, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.