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General NPI Number Information
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NPI Number | 1235238155
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Entity Type | Individual
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Provider Name | DAVID BRIAN HILTZIK D.P.M
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1720 GRAND AVE
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City | WAUKEGAN
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State | IL
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Zip | 60085
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Country | US
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Telephone | 847-336-3338
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Fax | 847-336-0683
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Provider Business Mailing Address
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Address Line | 1720 GRAND AVE
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City | WAUKEGAN
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State | IL
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Zip | 60085-3502
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Country | US
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Telephone | 847-336-3338
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Fax | 847-336-0683
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016-004380
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License Number State | IL
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