NORTHERN ILLINOIS PODIATRY PC
NPI 1740495944
Podiatrist in Freeport, IL

Q: What is Northern Illinois Podiatry PC's NPI number?

The NPI number for Northern Illinois Podiatry PC is 1740495944. It was assigned to this organization in the NPPES registry on May 11, 2007.

Q: What is Northern Illinois Podiatry PC's specialty?

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

Active since May 11, 2007

521 W MAIN ST, FREEPORT, IL 61032(815) 233-0211(815) 233-0214 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Northern Illinois Podiatry Pc NPPES

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

NORTHERN ILLINOIS PODIATRY PC (NPI 1740495944) is a healthcare organization registered as a podiatrist in Freeport, Illinois and active in the NPI registry since May 2007. The organization lists Ronald Keith Dickey, Owner, as its authorized official.

NPPES Registry Identity

NPI1740495944

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameNORTHERN ILLINOIS PODIATRY PC

Location Address521 W MAIN STFreeport, IL 61032

Mailing Address521 W Main StFreeport, IL 61032 · (815) 233-0211 · Fax (815) 233-0214

Phone(815) 233-0211

Fax(815) 233-0214

Organization SubpartNo

Authorized OfficialRonald Keith DickeyOwner · (815) 233-0211

Enumeration DateMay 11, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1740495944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

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.

521 W MAIN ST, Freeport, IL 61032

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Illinois Podiatry Pc 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 Northern Illinois Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carol Wisniewski, DPM

Podiatry

NPI 1316961675

521 W MAIN ST
Freeport, IL 61032

(815) 233-0211

✔ 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 Northern Illinois Podiatry PC's NPI number?

The NPI number for Northern Illinois Podiatry PC is 1740495944. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Northern Illinois Podiatry PC located?

Northern Illinois Podiatry PC is located at 521 W Main St, Freeport, IL 61032. The listed phone number is (815) 233-0211.

What is Northern Illinois Podiatry PC's specialty?

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

Is Northern Illinois Podiatry PC enrolled in Medicare?

Yes. Northern Illinois Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Illinois Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Northern Illinois Podiatry PC. 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.

What insurance does Northern Illinois Podiatry PC accept?

Health plans from Quartz list Northern Illinois Podiatry PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Illinois Podiatry PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.