Provider Demographics
NPI:1437622966
Name:TOMASZ SZMYD DPM, PC
Entity Type:Organization
Organization Name:TOMASZ SZMYD DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOMASZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SZMYD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:773-684-8000
Mailing Address - Street 1:1500 E 67TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-4427
Mailing Address - Country:US
Mailing Address - Phone:773-684-8000
Mailing Address - Fax:
Practice Address - Street 1:5501 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4130
Practice Address - Country:US
Practice Address - Phone:773-205-0106
Practice Address - Fax:949-404-6890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty