Organization
MSW DPM INC
Active
Other names
MSW, DPM INC., Lincoln Park Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WERNER CPC CPMA (CREDENTIALING MANAGER)
(630) 261-9286
Entity
Organization
Contact information
Practice address
1617 N CLYBOURN AVE, CHICAGO, IL 60614-5507
(773) 327-0006
Mailing address
1617 N CLYBOURN AVE, CHICAGO, IL 60614-5507
(773) 327-0006
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
02/11/2026
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