A Bridgeport Foot And Ankle Clinic, Ltd in Chicago - Podiatrist
A Bridgeport Foot And Ankle Clinic, Ltd - NPI 1053421180
A Bridgeport Foot And Ankle Clinic, Ltd is a Podiatrist in Chicago, Illinois. A Bridgeport Foot And Ankle Clinic, Ltd practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for A Bridgeport Foot And Ankle Clinic, Ltd is 1053421180. The last update date is 2022-07-21.
A Bridgeport Foot And Ankle Clinic, Ltd's current location address is 3058 W Peterson, Chicago, Illinois. You can contact this provider via phone number 3122252444 and fax number 8476742113. The mailing address for A Bridgeport Foot And Ankle Clinic, Ltd is 3058 W Peterson, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | A Bridgeport Foot And Ankle Clinic, Ltd |
|---|---|
| Address | 3058 W Peterson, Chicago, Illinois |
| Phone Number | 3122252444 |
| Fax Number | 8476742113 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Weiser Sidney |
| Credentials | DPM |
| Telephone Number | 3122252444 |
NPI Number Detail
| NPI Number | 1053421180 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3058 W Peterson |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60659 |
| Phone Number | 3122252444 |
| Fax Number | 8476742113 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16004192 | IL | -- | |
| 1635040 | IL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to A Bridgeport Foot And Ankle Clinic, Ltd?
The A Bridgeport Foot And Ankle Clinic, Ltd has been issued the NPI (National Provider Identifier) 1053421180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the A Bridgeport Foot And Ankle Clinic, Ltd located?
The A Bridgeport Foot And Ankle Clinic, Ltd is located at 3058 W Peterson, Chicago, IL 60659.
What is A Bridgeport Foot And Ankle Clinic, Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for A Bridgeport Foot And Ankle Clinic, Ltd is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053421180 to A Bridgeport Foot And Ankle Clinic, Ltd?
The A Bridgeport Foot And Ankle Clinic, Ltd received its 1053421180 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information pertaining to A Bridgeport Foot And Ankle Clinic, Ltd most recently updated or revised?
The details related to A Bridgeport Foot And Ankle Clinic, Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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