MEDICARE: MIDWEST CENTER FOR NEUROPATHY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1396003042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST CENTER FOR NEUROPATHY

Provider Business Mailing Address
First Line	:	1279 S NAPER BLVD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-8300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1279 S NAPER BLVD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-8300
Country	:	US
Telephone Number	:	630-548-3900
Fax Number	:

Authorized Official
Title or Position	:	CO-PRESIDENT
Name	:	BRENDON MCCARTHY
Credential	:	DPM
Telephone Number	:	630-548-1937

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	05/01/2012

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Directions to “MIDWEST CENTER FOR NEUROPATHY ” Practice Location

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