| Lake Zurich Podiatry Pc | |
| 
					950 W Main St, Suite 105, Lake Zurich, IL 60047-3417  | |
| (847) 540-0234 | |
| (847) 540-0867 | 
| Full Name | Lake Zurich Podiatry Pc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 950 W Main St, Lake Zurich, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477679397 | NPI | - | NPPES | 
| DG9348 | Other | IL | RAILROAD MEDICARE GROUP PTAN | 
| 04927332 | Other | BLUE CROSS BLUE SHIELD | |
| 480001414 | Other | RAILROAD MEDICARE PTAN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 016-003263 (Illinois) | Primary | 
| Provider Name | Elizabeth Jean Sosinski | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1427174325 PECOS PAC ID: 6709822679 Enrollment ID: I20050701000381  | 
| Provider Name | Daniel Patrick Hare | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1215464805 PECOS PAC ID: 6901175660 Enrollment ID: I20170712000957  | 
| Provider Name | Nicholas Aleksei Podkowirow | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1730614124 PECOS PAC ID: 9739422858 Enrollment ID: I20190513001745  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lake Zurich Podiatry Pc 950 W Main St, Suite 105, Lake Zurich, IL 60047-3417 Ph: (847) 540-0234  | Lake Zurich Podiatry Pc 950 W Main St, Suite 105, Lake Zurich, IL 60047-3417 Ph: (847) 540-0234  | 
Dr. David Anthony Charnota, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 765 Ela Road, Suite 100, Lake Zurich, IL 60047 Phone: 847-540-9949 Fax: 847-540-9971  | |
Podiatric Management Systems Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 765 Ela Rd, Lake Zurich, IL 60047 Phone: 847-540-9949 Fax: 847-540-9971  | |
Dr. Elizabeth Jean Sosinski, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 950 W Main St, Suite 105, Lake Zurich, IL 60047 Phone: 847-540-0234 Fax: 847-540-0867  | |
Dr. Anna Christine Gurrera, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 765 Ela Rd, Suite 100, Lake Zurich, IL 60047 Phone: 847-540-9949 Fax: 847-540-9971  | |
Alpine Foot Specialists, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 765 Ela Rd Ste 100, Lake Zurich, IL 60047 Phone: 847-540-9949 Fax: 847-540-9971  | |
Nicholas Aleksei Podkowirow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 950 W Il Route 22 Ste 105, Lake Zurich, IL 60047 Phone: 847-540-0234 Fax: 847-540-0867  |