Individual
BRIAN ANDREW OPENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6225 DEMPSTER ST, MORTON GROVE, IL 60053-2818
(708) 747-8994
(708) 747-0170
Mailing address
6225 DEMPSTER ST, MORTON GROVE, IL 60053-2818
(708) 747-8994
(847) 965-6325
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005221
IL
213E00000X
Podiatrist
07000977A
IN
213EP0504X
Public Medicine Podiatrist
016005221
IL
213EP0504X
Public Medicine Podiatrist
07000977A
IN
213EP1101X
Primary Podiatric Medicine Podiatrist
016005221
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
07000977A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
016005221
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
07000977A
IN
213ES0131X
Foot Surgery Podiatrist
016005221
IL
213ES0131X
Foot Surgery Podiatrist
07000977A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341268
ANTHEM
IN
01
—
00002479469 06
UNITED HEALTHCARE
IL
05
—
200-418510
—
IN
01
—
7785640
AETNA
IL
Enumeration date
06/23/2005
Last updated
12/06/2024
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