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Libertyville Podiatry PC

NPI 1346541158ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Libertyville, IL

Podiatrist, Foot & Ankle Surgery in Libertyville, Illinois, registered in NPPES in November 2010. The authorized official on file is Daniel C. Surowiec, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.

Overview

NPI1346541158
StatusActive
Entity typeOrganization
NPI issuedNov 10, 2010
Last updated in NPPESAug 12, 2026
Certified by providerAug 12, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist, Foot & Ankle Surgery Primary213ES0103X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Podiatry (IL); Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

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