Organization
NORTHWEST PODIATRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY C. BRYNICZKA DPM (PRESIDENT)
(847) 608-9494
Entity
Organization
Contact information
Practice address
234 RANDALL RD, SOUTH ELGIN, IL 60177-2274
(847) 608-9494
(847) 608-9499
Mailing address
234 RANDALL RD, SOUTH ELGIN, IL 60177-2274
(847) 608-9494
(847) 608-9499
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
016-002778
IL
Other
Enumeration date
06/03/2015
Last updated
04/22/2016
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