Northwest Podiatry Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

016-002778 Issued in IL

Legal business name

NORTHWEST PODIATRY CENTER

Practice address

7954 Oakton Avenue
Niles, IL 60714

Phone

(847) 823-5510

Fax

(847) 823-0797

NPI assigned

Jun 2, 2015

Last updated

Apr 25, 2016By 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

Gregory C. Bryniczka, DPM

Title

President

Phone

(847) 823-5510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1881074193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 OAKTON AVENUE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-823-5510",
            "fax_number": "847-823-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 OAKTON AVENUE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-823-5510",
            "fax_number": "847-823-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PODIATRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "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": "847-823-5510",
        "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": []
}

• North Suburban Surgical Consultants, LLC
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• Northside Health, LLC
• Northwest Infectious Disease Consultants, S.C.
• Northwest Metropolitan Urology Associates, S.C.
• Northwest Suburban Family Physician LLC
• Northwestern Dental Group LTD
• Ishtar Notali
• Nova Integrative Health and Wellness Inc
• Irene Nuqui, PT

• Durable Medical Equipment & Medical Supplies in Niles, IL
• Providers in Niles, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• 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.