Organization
NORTHWEST PODIATRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY C. BRYNICZKA DPM (PRESIDENT)
(847) 823-5510
Entity
Organization
Contact information
Practice address
7954 OAKTON AVENUE, NILES, IL 60714
(847) 823-5510
(847) 823-0797
Mailing address
7954 OAKTON AVENUE, NILES, IL 60714
(847) 823-5510
(847) 823-0797
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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