Northwest Indiana Podiatry Clinic, Llc in Chicago - Foot & Ankle Surgery
Northwest Indiana Podiatry Clinic, Llc - NPI 1639375058
Northwest Indiana Podiatry Clinic, Llc is a Foot & Ankle Surgery in Chicago, Illinois. Northwest Indiana Podiatry Clinic, Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Northwest Indiana Podiatry Clinic, Llc is 1639375058. 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 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 | 1639375058 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| 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 | 7732333800 |
| Fax Number | 7732332513 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90001145 | IN | BCBS | |
| 200124730B | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Northwest Indiana Podiatry Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Northwest Indiana Podiatry Clinic, Llc has been issued the NPI (National Provider Identifier) 1639375058. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Northwest Indiana Podiatry Clinic, Llc is physically located?
The Northwest Indiana Podiatry Clinic, Llc is situated at the following address: 9933 S Western Ave, Chicago, IL 606431810.
What is the Northwest Indiana Podiatry Clinic, Llc's specialty and taxonomy code?
The Northwest Indiana Podiatry Clinic, Llc's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
On what date did Northwest Indiana Podiatry Clinic, Llc receive its 1639375058 assignment from the Centers for Medicare & Medicaid Services?
The Northwest Indiana Podiatry Clinic, Llc was assigned its 1639375058 on 2007-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Northwest Indiana Podiatry Clinic, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northwest Indiana Podiatry Clinic, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-12.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO