Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN LYNN KAPUSTKA, DPM
Active Sole ProprietorDR. SUSAN LYNN KAPUSTKA, DPM is a Podiatrist healthcare provider located in VILLAGE OF LAKEWOOD, Illinois. NPI 1184982530 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · VILLAGE OF LAKEWOOD, IL
Registration Details
- NPI Number
- 1184982530
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2012 (14.346867770469 yrs)
- Last Updated
- Apr 23, 2012
- Licenses
-
016003622 (IL)016003622 (IL)016003622 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9711 S MUIRFIELD DRVILLAGE OF LAKEWOOD, IL, 600143316Browse IL providers · Browse ZIP 60014
- Phone
- 8154558090
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.