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

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1821092420

Dr. John L Bostanche, DPM is a Podiatry in Kenosha, Wisconsin. Graduated from William M. Scholl College of Podiatric Medicine in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
36
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
IL, WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6123 Green Bay Rd Ste 100
Kenosha, WI 53142-2939
Phone: (262) 657-3668
Fax: (262) 652-0564
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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 · Licence 654025 (WI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016004510 (IL)

Record details

NPI number1821092420
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESMay 5, 2010
Mailing address6123 Green Bay Rd, Ste 100, Kenosha, WI 53142-2939

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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