Northwest Indiana Podiatry Clinic, Llc in Chicago - Assistant, Podiatric
Northwest Indiana Podiatry Clinic, Llc - NPI 1922204106
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 1922204106. The last update date is 2020-08-22.
Northwest Indiana Podiatry Clinic, Llc's current location address is 9933 S Western Ave, Chicago, Illinois. You can contact this provider via phone number 7732333800 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 | 7732333800 |
| 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 | 1922204106 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9933 S Western Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606431810 |
| Phone Number | 7732333800 |
| 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 |
|---|---|---|---|
| 5007670004 | IN | DMEPOS | |
| 90001145 | IN | BCBS OF IL # FOR IND |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Northwest Indiana Podiatry Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Northwest Indiana Podiatry Clinic, Llc has been assigned the NPI (National Provider Identifier) 1922204106 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Northwest Indiana Podiatry Clinic, Llc?
The Northwest Indiana Podiatry Clinic, Llc is physically situated at 9933 S Western Ave, in the city of Chicago, state of IL, with the postal code 606431810.
What is Northwest Indiana Podiatry Clinic, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northwest Indiana Podiatry Clinic, Llc's specialized field of practice is Assistant, Podiatric, and the corresponding taxonomy code that categorizes this area of specialization is 211D00000X.
When did Northwest Indiana Podiatry Clinic, Llc receive its 1922204106 assignment?
The Northwest Indiana Podiatry Clinic, Llc was assigned its 1922204106 on 2007-06-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Northwest Indiana Podiatry Clinic, Llc last refreshed?
The information related to the Northwest Indiana Podiatry Clinic, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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