# NORTHWEST PODIATRY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316030943
- **Authorized official:** KIMBERLY MILLER (DIRECTOR OF RCM)
- **Authorized official phone:** (248) 331-7908

## Contact information

- **Practice address:** 705 WARRENVILLE RD STE B, WHEATON, IL 60189-6379
- **Practice address phone:** (630) 668-8277
- **Practice address fax:** (630) 668-3358
- **Mailing address:** PO BOX 779331, CHICAGO, IL 60677-0438
- **Mailing address phone:** (888) 402-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 162778 | IL | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/11/2026