Organization
NORTHWEST PODIATRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C. BRYNICZKA DPM (PRESIDENT)
(847) 802-4664
Entity
Organization
Contact information
Practice address
13312 VILLAGE GREEN DR, HUNTLEY, IL 60142-8027
(847) 802-4664
(847) 802-4869
Mailing address
13312 VILLAGE GREEN DR, HUNTLEY, IL 60142-8027
(847) 802-4664
(847) 802-4869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
016-002778
IL
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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