Provider Demographics
NPI:1164519682
Name:PARTYKA, RAYMOND EDWIN (DPM)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:EDWIN
Last Name:PARTYKA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 S ARLINGTON HEIGHTS ROAD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1928
Mailing Address - Country:US
Mailing Address - Phone:847-394-3399
Mailing Address - Fax:847-590-0160
Practice Address - Street 1:215 S ARLINGTON HEIGHTS ROAD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1928
Practice Address - Country:US
Practice Address - Phone:847-394-3399
Practice Address - Fax:847-590-0160
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T15186Medicare UPIN
212252Medicare ID - Type Unspecified