Provider Demographics
NPI:1558249268
Name:PODIATRY OF PALATINE
Entity type:Organization
Organization Name:PODIATRY OF PALATINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:DPM
Authorized Official - Last Name:DOMEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-636-9522
Mailing Address - Street 1:8 N DUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1426
Mailing Address - Country:US
Mailing Address - Phone:847-255-5004
Mailing Address - Fax:
Practice Address - Street 1:60 W PALATINE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-5122
Practice Address - Country:US
Practice Address - Phone:847-255-5004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PODIATRY OF ILLINOIS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty