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LIBERTYVILLE PODIATRY
NPI 1639969645
Podiatrist - Foot & Ankle Surgery in Libertyville, IL

Active since May 12, 2025
1870 W WINCHESTER RD STE 246, LIBERTYVILLE, IL 60048(847) 816-3156(847) 816-9724 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Libertyville Podiatry NPPES

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

LIBERTYVILLE PODIATRY (NPI 1639969645) is a healthcare organization registered as a foot & ankle surgery in Libertyville, Illinois and active in the NPI registry since May 2025. The organization lists Daniel Surowiec, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1639969645
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLIBERTYVILLE PODIATRY
Location Address1870 W WINCHESTER RD STE 246Libertyville, IL 60048-5360
Mailing Address1870 W Winchester Rd Ste 246Libertyville, IL 60048-5360 · (847) 816-3156 · Fax (847) 816-9724
Phone(847) 816-3156
Fax(847) 816-9724
Organization SubpartNo
Authorized OfficialDaniel SurowiecOwner/physician · (847) 816-3156
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1639969645 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
1870 W WINCHESTER RD STE 246, Libertyville, IL 60048
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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

Other Providers at the Same Location NPPES 3

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

MARY GAIL KWIECINSKI DPM P C
Podiatrist (Foot & Ankle Surgery)
1870 W WINCHESTER RD STE 246
LIBERTYVILLE, IL 60048
Lake County (847) 816-3156
DR. JARED HART DPM
Podiatrist (Foot & Ankle Surgery)
1870 W WINCHESTER RD STE 246
LIBERTYVILLE, IL 60048
Lake County (847) 816-3156
DR. DANIEL C SUROWIEC DPM, MS
Podiatrist (Foot & Ankle Surgery)
1870 W WINCHESTER RD STE 246
LIBERTYVILLE, IL 60048
Lake County (847) 816-3156

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 Libertyville Podiatry's NPI number?

The NPI number for Libertyville Podiatry is 1639969645. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is Libertyville Podiatry located?

Libertyville Podiatry is located at 1870 W Winchester Rd Ste 246, Libertyville, IL 60048. The listed phone number is (847) 816-3156.

What is Libertyville Podiatry'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 Libertyville Podiatry was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.