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ROBERT C DEZANEK DPM
NPI 1407934888
Podiatrist in Chicago, IL

Active since November 01, 2006
5916 W HIGGINS AVE, CHICAGO, IL 60630(773) 283-1911 Get Directions Write a Review

NPPES record last updated: December 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert C Dezanek Dpm NPPES

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

ROBERT C DEZANEK DPM (NPI 1407934888) is a healthcare organization registered as a podiatrist in Chicago, Illinois and active in the NPI registry since November 2006. The organization lists Robert Charles Dezanek, Corp President, as its authorized official.

NPPES Registry Identity

NPI1407934888
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDEZANEK PODIATRY CENTER LTD
Location Address5916 W HIGGINS AVEChicago, IL 60630-1905
Mailing Address5916 W Higgins AveChicago, IL 60630-1905 · (773) 283-1911
Phone(773) 283-1911
Organization SubpartNo
Authorized OfficialRobert Charles DezanekCorp President · (773) 283-1911
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 26, 2014
✔ NPI 1407934888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016003970
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5916 W HIGGINS AVE, Chicago, IL 60630
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Other Names 1

Doing Business AsRobert C Dezanek Dpm

Other Identifiers 5

Medicare UPINT36759
Medicare PIN216578IL
Other480009595IL · Railroad Medicare
Other0060001570IL · Blue Cross
Medicaid3394649896063002IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert C Dezanek Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert C Dezanek DPM, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Dezanek, DPM
Podiatry
NPI 1447449798
5916 W HIGGINS AVE
Chicago, IL 60630
(773) 283-1911
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dezanek Podiatry Center Ltd's NPI number?

The NPI number for Dezanek Podiatry Center Ltd is 1407934888. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Robert C Dezanek Dpm.

Where is Dezanek Podiatry Center Ltd located?

Dezanek Podiatry Center Ltd is located at 5916 W Higgins Ave, Chicago, IL 60630. The listed phone number is (773) 283-1911.

What is Dezanek Podiatry Center Ltd's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Dezanek Podiatry Center Ltd enrolled in Medicare?

Yes. Dezanek Podiatry Center Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dezanek Podiatry Center Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dezanek Podiatry Center Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dezanek Podiatry Center Ltd was last updated on December 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.