JOHN J MYTYCH (NPI# 1457452476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457452476 |
| Entity Type | Individual |
| Full Name | JOHN J MYTYCH |
| Credential | D.P.M. |
| Practice Address |
2401 Kaneville Rd Ste 6 Geneva IL 60134-2577 |
| Mailing Address |
Po Box 388 Batavia IL 60510-0388 |
| Practice Telephone | 6302329000 |
| Mailing Telephone | 6302329000 |
| Mailing Fax Number | 6302329025 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005082 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00206045 | 01 |
| IL | DMERC | 5432480001 | 01 |
| Street Address |
2401 KANEVILLE RD STE 6 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104921519 | Mark M Mondul | Podiatrist | 2401 Kaneville Rd, Suite 6, Geneva, IL 60134-2579 | 2006-09-13 |
| 1578785689 | Advanced Chiropractic Associates | Chiropractor | 2401 Kaneville Rd, Suite 1, Geneva, IL 60134-2579 | 2007-05-02 |
| 1720200769 | Michael Robert Golden | Chiropractor | 2401 Kaneville Rd, Suite 1, Geneva, IL 60134-2579 | 2007-05-02 |
| 1558489757 | Iman Halloum D.c. S.c. | Chiropractor | 2401 Kaneville Rd, Suite 7, Geneva, IL 60134-2579 | 2007-03-26 |
| 1457408924 | Iman M Halloum | Chiropractor | 2401 Kaneville Rd, Suite 7, Geneva, IL 60134-2579 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417308925 | Timothy Craig Wirt | Podiatrist | 351 Delnor Dr Ste 401, Geneva, IL 60134-4235 | 2016-06-27 |
| 1285817536 | Fox Valley Foot and Ankle Specialist, Ltd | Podiatrist | 2401 Kaneville Rd Ste 6, Geneva, IL 60134-2577 | 2007-12-10 |
| 1437292141 | Geneva Foot & Ankle Associates, P.C. | Podiatrist | 1705 South St, Ste A, Geneva, IL 60134-2583 | 2007-02-14 |
| 1780727586 | Peter C. Tsang | Podiatrist | 4 South Sixth St., Geneva, IL 60134 | 2007-02-14 |
| 1497704159 | Joseph T Perillo D P M | Podiatrist | 650 Pre Emption Rd, Geneva, NY 14456 | 2006-05-09 |
| 1932667672 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 650 Pre Emption Rd, Geneva, NY 14456-1334 | 2019-03-12 |
| 1245539923 | Peter Michael Stasko | Podiatrist | 875 Pre Emption Rd, Geneva, NY 14456-2042 | 2011-03-21 |
| 1144552597 | Kane Podiatry Associates, S.c. | Podiatrist | 2172 Blackberry Dr, Suite 112, Geneva, IL 60134-1102 | 2010-02-10 |
| 1790912699 | Joanna Chura | Podiatrist | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2009-06-18 |
| 1770769093 | Foot First Podiatry Centers, V.p.c. | Podiatrist | 2197 Blackberry Dr, Geneva, IL 60134-4713 | 2008-01-16 |
| Find all providers in GENEVA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.