Healthcare Provider Details

I. General information

NPI: 1477559466
Provider Name (Legal Business Name): BRIAN ANDREW OPENSKY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 DEMPSTER ST STE 210
SKOKIE IL
60077-1856
US

IV. Provider business mailing address

5301 DEMPSTER ST STE 210
SKOKIE IL
60077-1856
US

V. Phone/Fax

Practice location:
  • Phone: 708-747-8994
  • Fax: 708-747-0170
Mailing address:
  • Phone: 708-747-8994
  • Fax: 847-965-6325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number016005221
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number07000977A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code213EP0504X
TaxonomyPublic Medicine Podiatrist
License Number07000977A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code213EP0504X
TaxonomyPublic Medicine Podiatrist
License Number016005221
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number07000977A
License Number StateIN
# 6
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number016005221
License Number StateIL
# 7
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number016005221
License Number StateIL
# 8
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07000977A
License Number StateIN
# 9
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number07000977A
License Number StateIN
# 10
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number016005221
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: