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Dr. Robert Bandyk, DPM

Podiatrist in Lansing, IL. Individual provider (NPI-1).

NPI number1679587786
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1679587786
Entity type
Individual (NPI-1)
Name
Dr. Robert Bandyk
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jul 27, 2006
Last updated
Mar 7, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PODIATRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist016-004010ILYes

Practice location

18503 Torrence Ave
Lansing, IL 60438-2839

Phone 708-474-1900 · Fax 708-474-1037

Mailing address

18503 Torrence Ave
Lansing, IL 60438-2839

Phone 708-474-1900 · Fax 708-474-1037

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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