MEDICARE: DOWNERSGROVE FOOT SPECIALISTS

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	016.003012	IL

General Provider Information

NPI Number	:	1528390853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOWNERSGROVE FOOT SPECIALISTS

Provider Business Mailing Address
First Line	:	1036 OGDEN AVE
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-2812
Country	:	US
Telephone Number	:	630-968-4416
Fax Number	:

Provider Business Practice Location Address
First Line	:	1036 OGDEN AVE
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-2812
Country	:	US
Telephone Number	:	630-968-4416
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN MICHAEL LIMANOWSKI
Credential	:	DPM
Telephone Number	:	630-968-4416

Provider Enumeration Date	:	02/11/2010
Last Update Date	:	02/11/2010

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Directions to “DOWNERSGROVE FOOT SPECIALISTS ” Practice Location

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