DRS. MATTANA AND KWIECINSKI
NPI 1104998780
Podiatrist - Foot & Ankle Surgery in Vernon Hills, IL

NPI Status: Active since November 15, 2006

Contact Information

250 CENTER DR
SUITE 201
VERNON HILLS, IL
ZIP 60061
Phone: (847) 816-4711
Fax: (847) 247-1158

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About DRS. MATTANA AND KWIECINSKI

This page provides the complete NPI Profile along with additional information for Drs. Mattana And Kwiecinski, a provider established in Vernon Hills, Illinois operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1104998780 assigned on November 2006. The practitioner's primary taxonomy code is 213ES0103X with license number 016004013 (). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mary Gail Kwiecinski D.p.m. (Partner)

NPI
1104998780
Provider Name
DRS. MATTANA AND KWIECINSKI
Entity Type
Organization
Location Address
250 CENTER DR SUITE 201 VERNON HILLS, IL 60061
Location Phone
(847) 816-4711
Location Fax
(847) 247-1158
Mailing Address
250 CENTER DR SUITE 201 VERNON HILLS, IL 60061
Mailing Phone
(847) 816-4711
Mailing Fax
(847) 247-1158
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2006
Last Update Date
03-01-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
016004013

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARY GAIL KWIECINSKI D.P.M.

Authorized Official Title
PARTNER
Authorized Official Phone
(847) 816-4711

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
212569MEDICARE ID-TYPE UNSPECIFIED (04)IL 
DP7858OTHER (01)ILRAILROAD MEDICARE
6205970001MEDICARE NSC (07)IL 
0004932354OTHER (01)ILBLUE CROSS BLUE SHIELD

Reviews for DRS. MATTANA AND KWIECINSKI

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104998780
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210418916716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 9 + 1 + 6 + 7 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104998780 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316961527 CRYSTAL M HALL
Individual
Occupational Therapist250 CENTER DR SUITE 101A
VERNON HILLS, IL 60061
(847) 816-7200
1295812964SCOTT M MORCOTT, MD SC
Organization
Family Medicine250 CENTER DR SUITE 201
VERNON HILLS, IL 60061
(847) 816-8686
1427105196 NICOLE SNOW CCC-SLP
Individual
Speech-Language Pathologist250 CENTER DR SUITE 101-A
VERNON HILLS, IL 60061
(847) 816-7201
1285855312 PAMELA POWELL CCC-SLP
Individual
Speech-Language Pathologist250 CENTER DR 101-A
VERNON HILLS, IL 60061
(847) 816-7201
1710158761 DORIE MENDELL PHD, CCC-SLP
Individual
Speech-Language Pathologist250 CENTER DR SUITE 101-A
VERNON HILLS, IL 60061
(847) 816-7200
1770719809MRS. LISA D ROLAND OTR/L
Individual
Occupational Therapist250 CENTER DR SUITE 101-A
VERNON HILLS, IL 60061
(847) 816-7200
1689867327DR. AMIT KUMAR DDS
Individual
Dentist250 CENTER DR STE 202
VERNON HILLS, IL 60061
(847) 247-1700
1891030094AMERICAN DENTAL GROUP, INC
Organization
Clinic/Center (Dental)250 CENTER DR STE 202
VERNON HILLS, IL 60061
(847) 247-1700
1255408878DR. LESLIE C MCCLELLAN MD
Individual
Surgery250 CENTER DR STE 201
VERNON HILLS, IL 60061
(847) 549-6100
1265891840DR KUMAR AND ASSOCIATES LLC
Organization
Dentist250 CENTER DR STE 202
VERNON HILLS, IL 60061
(312) 520-2648
1497289284DR. JOYCE RUBINSTEIN PHD
Individual
Psychologist250 CENTER DR SUITE 201
VERNON HILLS, IL 60061
(773) 490-5983
1891786471DR. JENNIFER M CHAN
Individual
Obstetrics & Gynecology250 CENTER DR SUITE 101
VERNON HILLS, IL 60061
(847) 918-7050
1962403006DR. DIANNA KATHERINE KIM MD
Individual
Obstetrics & Gynecology250 CENTER DR SUITE 101
VERNON HILLS, IL 60061
(847) 918-7050
1972504306DR. SARAH SO-CHUI WONG MD
Individual
Obstetrics & Gynecology250 CENTER DR SUITE 101
VERNON HILLS, IL 60061
(847) 918-7050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104998780, enumerated in the NPI registry as an "organization" on November 15, 2006

The provider is located at 250 Center Dr Suite 201 Vernon Hills, Il 60061 and the phone number is (847) 816-4711

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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