Healthcare Provider Details
I. General information
NPI: 1891788055
Provider Name (Legal Business Name): CATHERINE HALINSKI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/23/2005
Last Update Date: 12/30/2021
Certification Date: 12/30/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3385 N ARLINGTON HEIGHTS RD SUITE GH
ARLINGTON HEIGHTS IL
60004-7702
US
IV. Provider business mailing address
1660 FEEHANVILLE DR STE 450
MOUNT PROSPECT IL
60056-6023
US
V. Phone/Fax
- Phone: 847-419-3939
- Fax: 847-749-3326
- Phone: 847-390-7666
- Fax: 847-749-3326
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | 16004807 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: