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DR. MALCOLM DUGRO HERZOG D.P.M.
NPI 1356450415
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since August 30, 2006
5241 S CICERO AVE, SUITE 103, CHICAGO, IL 60632(773) 284-8811(773) 284-6431 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Malcolm Dugro Herzog D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MALCOLM DUGRO HERZOG D.P.M. (NPI 1356450415) is an individual foot & ankle surgery provider in Chicago, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356450415
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MALCOLM DUGRO HERZOGCredential: D.P.M.
Location Address5241 S CICERO AVE, SUITE 103Chicago, IL 60632-4967
Mailing Address5241 S Cicero Ave, Suite 103Chicago, IL 60632-4967 · (773) 284-8811 · Fax (773) 284-6431
Phone(773) 284-8811
Fax(773) 284-6431
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356450415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
5241 S CICERO AVE, Chicago, IL 60632
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Other Identifiers 6

Other60001221IL · Bc& Bs Provider #
Medicare ID-Type UnspecifiedK16764IL · Dupage Provider Number
Medicare UPINT37671IL
Medicare ID-Type Unspecified211512IL · Group Cook County
Medicare ID-Type Unspecified211509IL · Group Dupage County
Medicare ID-Type UnspecifiedK16735IL · Cook - Provider #

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PODIATRIC MANAGEMENT SYSTEMS LLC
Podiatrist
5241 S CICERO AVE
CHICAGO, IL 60632
Cook County (773) 284-8811
PROFESSIONAL FOOT CARE SPECIALISTS, P.C.
Podiatrist (Primary Podiatric Medicine)
5241 S CICERO AVE, SUITE 103
CHICAGO, IL 60632
Cook County (773) 284-8811
MEDICAL AND REHABABILITATION CENTER OF CHICAGO LLC
Clinic/Center (Physical Therapy)
5241 S CICERO AVE
CHICAGO, IL 60632
Cook County (773) 284-8811
PHYSICIANS SURGERY CARE CENTER
Clinic/Center (Ambulatory Surgical)
5241 S CICERO AVE
CHICAGO, IL 60632
Cook County (773) 284-7610
ADVANCED NEUROLOGICAL DIAGNOSTICS, LLC
Clinic/Center (Medical Specialty)
5241 S CICERO AVE, SUITE 201
CHICAGO, IL 60632
Cook County (773) 284-8881
PROFESSIONAL DIAGNOSTIC, INC.
Clinic/Center (Medical Specialty)
5241 S CICERO AVE
CHICAGO, IL 60632
Cook County (888) 322-7117
DR. LUKE WARNER KOVATCH D.P.M.
Podiatrist (Foot & Ankle Surgery)
5241 S CICERO AVE, STE 103
CHICAGO, IL 60632
Cook County (773) 284-8811
PROFESSIONAL NEUROLOGICAL SERVICES, LTD.
Clinic/Center (Medical Specialty)
5241 S CICERO AVE, SUITE 201
CHICAGO, IL 60632
Cook County (888) 733-1623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malcolm Herzog's NPI number?

The NPI number for Malcolm Herzog is 1356450415. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Malcolm Herzog located?

Malcolm Herzog practices at 5241 S Cicero Ave Suite 103, Chicago, IL 60632. The listed phone number is (773) 284-8811.

What is Malcolm Herzog's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Malcolm Herzog was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.