Pam Eernisse Dpm Sc in Justice - Foot Surgery
Pam Eernisse Dpm Sc - NPI 1659577575
Pam Eernisse Dpm Sc is a Foot Surgery in Justice, Illinois. Pam Eernisse Dpm Sc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Pam Eernisse Dpm Sc is 1659577575. The last update date is 2020-08-22.
Pam Eernisse Dpm Sc's current location address is 9050 W 81st St, Justice, Illinois. You can contact this provider via phone number 7085943500 and fax number 7085943526. The mailing address for Pam Eernisse Dpm Sc is 9050 W 81st St, Justice, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pam Eernisse Dpm Sc |
|---|---|
| Address | 9050 W 81st St, Justice, Illinois |
| Phone Number | 7085943500 |
| Fax Number | 7085943526 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Eernisse Ann Pam |
| Credentials | DPM |
| Telephone Number | 3123372468 |
NPI Number Detail
| NPI Number | 1659577575 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9050 W 81st St |
|---|---|
| City | Justice |
| State | Illinois (IL) |
| Post Code | 604581350 |
| Phone Number | 7085943500 |
| Fax Number | 7085943526 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
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What is the Pam Eernisse Dpm Sc's unique identification number?
The Pam Eernisse Dpm Sc has been assigned the NPI (National Provider Identifier) Number 1659577575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Pam Eernisse Dpm Sc is physically located?
The Pam Eernisse Dpm Sc is situated at the following address: 9050 W 81St St, Justice, IL 604581350.
What is Pam Eernisse Dpm Sc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pam Eernisse Dpm Sc is Foot Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0131X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659577575 to Pam Eernisse Dpm Sc?
The Centers for Medicare & Medicaid Services assigned the 1659577575 to Pam Eernisse Dpm Sc on 2007-06-26.
When was the information regarding Pam Eernisse Dpm Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pam Eernisse Dpm Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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