Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Libertyville Podiatry

Organization Foot & Ankle Surgery Podiatrist · NPI 1639969645

Libertyville Podiatry is a Foot & Ankle Surgery Podiatrist in Libertyville, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1870 W Winchester Rd Ste 246
Libertyville, IL 60048-5360
Phone: (847) 816-3156
Fax: (847) 816-9724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1639969645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Surowiec — Owner/Physician · (847) 816-3156
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address1870 W Winchester Rd Ste 246, Libertyville, IL 60048-5360

Other providers in Libertyville