Provider Demographics
NPI:1700812732
Name:WARHEIT, MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:WARHEIT
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 1:1257 W DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4009
Mailing Address - Country:US
Mailing Address - Phone:847-577-1649
Mailing Address - Fax:847-577-1677
Practice Address - Street 1:1257 W DUNDEE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4009
Practice Address - Country:US
Practice Address - Phone:847-577-1649
Practice Address - Fax:847-577-1677
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016003705213E00000X
WI707-25213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016003705Medicaid
IL36-3474726OtherFOOT FIRST II FEIN
IL60015169OtherBC/BS IL
ILK02695Medicare PIN
ILK02696Medicare PIN
IL731811Medicare PIN
IL2593410001Medicare NSC
ILK02697Medicare PIN
WI814350019Medicare PIN
ILP00658398Medicare PIN
IL36-3474726OtherFOOT FIRST II FEIN
ILK02698Medicare PIN
IL016003705Medicaid
WI864920022Medicare PIN
WI865500019Medicare PIN
IL560760003Medicare PIN