Beverly Podiatry Center, Llc in Chicago - Public Medicine
Beverly Podiatry Center, Llc - NPI 1790777118
Beverly Podiatry Center, Llc is a Public Medicine in Chicago, Illinois. Beverly Podiatry Center, Llc practices all healthcare services and medical treatments related to Public Medicine. The NPI Number for Beverly Podiatry Center, Llc is 1790777118. The last update date is 2009-11-12.
Beverly Podiatry Center, Llc's current location address is 9933 S Western Ave, Chicago, Illinois. You can contact this provider via phone number 7734458700 and fax number 7734454646. The mailing address for Beverly Podiatry Center, Llc is 9933 S Western Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beverly Podiatry Center, Llc |
|---|---|
| Address | 9933 S Western Ave, Chicago, Illinois |
| Phone Number | 7734458700 |
| Fax Number | 7734454646 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Massuda Fortunee |
| Credentials | DPM |
| Telephone Number | 7734458700 |
NPI Number Detail
| NPI Number | 1790777118 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| 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 | 7734458700 |
| Fax Number | 7734454646 |
Provider's Primary Taxonomy Detail
| Speciality | Public Medicine |
|---|---|
| Taxonomy | 213Ep0504X |
|
Definition: A doctor of podiatric medicine who focuses on public and community podiatry health services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 600-15186 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Beverly Podiatry Center, Llc by the Centers for Medicare & Medicaid Services?
The Beverly Podiatry Center, Llc has been issued the NPI (National Provider Identifier) 1790777118, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Beverly Podiatry Center, Llc?
The Beverly Podiatry Center, Llc is situated at 9933 S Western Ave, in the city of Chicago, state of IL, with the zip code 606431810.
What is Beverly Podiatry Center, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Beverly Podiatry Center, Llc is Public Medicine, and the taxonomy code that classifies this field of practice is 213Ep0504X.
On what date was the 1790777118 assigned to Beverly Podiatry Center, Llc?
The Beverly Podiatry Center, Llc was issued its 1790777118 on 2005-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Beverly Podiatry Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Beverly Podiatry Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-11-12.
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