| Dezanek Podiatry Center Ltd | |
|
5916 W Higgins Ave, Chicago, IL 60630-1905 | |
| (773) 283-1911 | |
| Not Available |
| Full Name | Dezanek Podiatry Center Ltd |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 5916 W Higgins Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407934888 | NPI | - | NPPES |
| 0060001570 | Other | IL | BLUE CROSS |
| 3394649896063002 | Medicaid | IL | |
| 480009595 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016003970 (Illinois) | Primary |
| Provider Name | Robert C Dezanek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447449798 PECOS PAC ID: 1850470659 Enrollment ID: I20080505000854 |
| Mailing Address | Practice Location Address |
|---|---|
| Dezanek Podiatry Center Ltd 5916 W Higgins Ave, Chicago, IL 60630-1905 Ph: (773) 283-1911 | Dezanek Podiatry Center Ltd 5916 W Higgins Ave, Chicago, IL 60630-1905 Ph: (773) 283-1911 |
Chicago Foot Clinic, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2801 W Cermak Rd, Chicago, IL 60623 Phone: 773-376-7200 Fax: 773-376-9211 | |
Darla Thomas, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1706 E 87th St, Chicago, IL 60617 Phone: 773-374-5300 | |
Mariam Qureshi, Podiatrist Medicare: Medicare Enrolled Practice Location: 4646 N Marine Dr, Chicago, IL 60640 Phone: 773-564-5738 | |
Dr. Petrina Chino, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-2245 | |
Dr. Marwan Zayed, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3631 N Harlem Ave, Chicago, IL 60634 Phone: 773-725-2953 Fax: 773-725-2932 | |
Michael Stefan Williams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2752 N Southport Ave, Chicago, IL 60614 Phone: 773-327-0006 | |
Chicago Foot & Ankle Deformity Correction Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 60 E Delaware Pl, Suite 1480, Chicago, IL 60611 Phone: 312-355-3939 |