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General NPI Number Information
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NPI Number | 1477559466
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Entity Type | Individual
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Provider Name | BRIAN ANDREW OPENSKY DPM
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 6225 DEMPSTER ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-2818
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Country | US
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Telephone | 708-747-8994
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Fax | 708-747-0170
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Provider Business Mailing Address
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Address Line | 6225 DEMPSTER ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-2818
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Country | US
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Telephone | 708-747-8994
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Fax | 847-965-6325
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 07000977A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 016005221
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 07000977A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 213EP0504X
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Taxonomy Name | Public Medicine Podiatrist
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License Number | 016005221
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 213EP0504X
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Taxonomy Name | Public Medicine Podiatrist
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License Number | 07000977A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005221
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 07000977A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 07000977A
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License Number State | IN
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Taxonomy #9
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 016005221
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016005221
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License Number State | IL
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