Northwest Indiana Podiatry Clinic, Llc in Chicago - Assistant, Podiatric
Northwest Indiana Podiatry Clinic, Llc - NPI 1609072677
Northwest Indiana Podiatry Clinic, Llc is a Assistant, Podiatric in Chicago, Illinois. Northwest Indiana Podiatry Clinic, Llc practices all healthcare services and medical treatments related to Assistant, Podiatric. The NPI Number for Northwest Indiana Podiatry Clinic, Llc is 1609072677. The last update date is 2009-11-12.
Northwest Indiana Podiatry Clinic, Llc's current location address is 9933 S Western Ave, Chicago, Illinois. You can contact this provider via phone number 7734453800 and fax number 7732332513. The mailing address for Northwest Indiana Podiatry Clinic, Llc is 9933 S Western Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Indiana Podiatry Clinic, Llc |
|---|---|
| Address | 9933 S Western Ave, Chicago, Illinois |
| Phone Number | 7734453800 |
| Fax Number | 7732332513 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Massuda Fortunee |
| Credentials | DPM |
| Telephone Number | 7732333800 |
NPI Number Detail
| NPI Number | 1609072677 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2009-11-12 |
Provider Mailing Address Detail
| Address | 9933 S Western Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606431810 |
| Phone Number | 7734453800 |
| Fax Number | 7732332513 |
Provider's Primary Taxonomy Detail
| Speciality | Assistant, Podiatric |
|---|---|
| Taxonomy | 211D00000X |
|
Definition: An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; provid |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200124730C | IN | -- | |
| 90001145 | IN | BCBS NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Northwest Indiana Podiatry Clinic, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Northwest Indiana Podiatry Clinic, Llc has been assigned the NPI (National Provider Identifier) 1609072677. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Northwest Indiana Podiatry Clinic, Llc is physically located?
The Northwest Indiana Podiatry Clinic, Llc is physically situated at the following address: 9933 S Western Ave, Chicago, IL, 606431810.
What is Northwest Indiana Podiatry Clinic, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northwest Indiana Podiatry Clinic, Llc is Assistant, Podiatric, and the taxonomy code that categorizes this field of expertise is 211D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609072677 to Northwest Indiana Podiatry Clinic, Llc?
The Centers for Medicare & Medicaid Services assigned the 1609072677 to Northwest Indiana Podiatry Clinic, Llc on 2007-06-26.
When was the information pertaining to Northwest Indiana Podiatry Clinic, Llc most recently updated or revised?
The details related to Northwest Indiana Podiatry Clinic, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2009-11-12.
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