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Organization

NORTHWEST PODIATRY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY C. BRYNICZKA DPM (PRESIDENT)
(630) 830-2155
Entity
Organization

Contact information

Practice address
2124 OGDEN AVE, SUITE 101, AURORA, IL 60504-7514
(630) 585-8087
(630) 585-8024
Mailing address
2124 OGDEN AVE, SUITE 101, AURORA, IL 60504-7514
(630) 585-8087
(630) 585-8024

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
016-002778
IL

Other

Enumeration date
06/02/2015
Last updated
04/25/2016
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