NPIMap

Organization Active NPI

Northwest Podiatry Center

  • Durable Medical Equipment & Medical Supplies
  • Streamwood, IL
National Provider Identifier
1841679354
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
016-002778 Issued in IL
Legal business name
NORTHWEST PODIATRY CENTER
Practice address
403 W Irving Park Rd
Streamwood, IL 60107-2851
Phone
(630) 830-2155
Fax
(630) 830-1424
NPI assigned
May 29, 2015
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Gregory C. Bryniczka, DPM
Title
President
Phone
(630) 830-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 016-002778 IL Primary

Addresses

Primary practice location

403 W Irving Park Rd
Streamwood, IL 60107-2851

Mailing address

403 W Irving Park Rd
Streamwood, IL 60107-2851
Phone (630) 830-2155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1841679354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072851",
            "telephone_number": "630-830-2155",
            "fax_number": "630-830-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072851",
            "telephone_number": "630-830-2155",
            "fax_number": "630-830-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PODIATRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "BRYNICZKA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-830-2155",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "016-002778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.