Premier Podiatry Services, Ltd
Podiatrist
7126 N Lincoln Ave, Lincolnwood
Illinois, 60712-2234
773-866-9800 773-866-1733
Premier Podiatry Services, Ltd is a Podiatrist in Lincolnwood, Illinois. It is located at 7126 N Lincoln Ave, Lincolnwood and it's customer support contact number is 773-866-9800. The authorized person of Premier Podiatry Services, Ltd is Dr. Thomas Daniel Paholak, DPM who is President of this DME and his contact number is 773-866-9800. Premier Podiatry Services, Ltd accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Premier Podiatry Services, Ltd is 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.
DME Supplier Details:
Premier Podiatry Services, Ltd type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Premier Podiatry Services, Ltd |
| Type: | Podiatrist |
| Location: | 7126 N Lincoln Ave, Lincolnwood,
Illinois, 60712-2234 |
| Phone: | 773-866-9800 |
| Fax: | 773-866-1733 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Thomas Daniel Paholak |
| Credentials: | DPM |
| Position: | President |
| Contact Number: | 773-866-9800 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1528250669 |
| NPI Enumeration Date: | 13 Aug, 2007 |
| NPI Last Update On: | 25 Apr, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Premier Podiatry Services, Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | | | Primary | |
| Customized Equipment | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1208030001 | Other | Illinois | Administar |
| 016004340 | Medicaid | Illinois | |
| 0001623503 | Other | Illinois | Bcbs |
| CG8029 | Other | Illinois | Railroad Medicare |
| 5410292 | Other | Illinois | Cigna |
Medicare Enrollment:
Premier Podiatry Services, Ltd is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8820007180 | O20060413000474 | Premier Podiatry Services Ltd | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 8820007180 | O20181026002085 | Premier Podiatry Services Ltd | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7126 N Lincoln Ave,
Lincolnwood, Illinois |
| Zip: | 60712-2234 |
| Phone Number: | 773-866-9800 |
| Fax Number: | 773-866-1733 |
Patients can reach Premier Podiatry Services, Ltd at
7126 N Lincoln Ave, Lincolnwood, Illinois or can
call on customer care at 773-866-9800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.