Hyde Park Podiatry Ctr Ltd in Chicago - Primary Podiatric Medicine

Hyde Park Podiatry Ctr Ltd - NPI 1447242862

Hyde Park Podiatry Ctr Ltd is a Primary Podiatric Medicine in Chicago, Illinois. Hyde Park Podiatry Ctr Ltd practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Hyde Park Podiatry Ctr Ltd is 1447242862. The last update date is 2011-03-23.

Hyde Park Podiatry Ctr Ltd's current location address is 1644 E 53rd St, Chicago, Illinois. You can contact this provider via phone number 7737522111 and fax number 7732336703. The mailing address for Hyde Park Podiatry Ctr Ltd is 1644 E 53rd St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hyde Park Podiatry Ctr Ltd
Address 1644 E 53rd St, Chicago, Illinois
Phone Number 7737522111
Fax Number 7732336703
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Massuda Fortunee
Credentials DPM
Telephone Number 7737522111

NPI Number Detail

NPI Number 1447242862
Provider Enumeration Date 2005-08-22
Last Updated Date 2011-03-23

Provider Mailing Address Detail

Address 1644 E 53rd St
City Chicago
State Illinois (IL)
Post Code 606154210
Phone Number 7737522111
Fax Number 7732336703

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
600-15187 IL BCBS

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FAQs about Hyde Park Podiatry Ctr Ltd

What is the unique 10-digit identification code issued to Hyde Park Podiatry Ctr Ltd by the Centers for Medicare & Medicaid Services?

The Hyde Park Podiatry Ctr Ltd has been assigned the NPI (National Provider Identifier) 1447242862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Hyde Park Podiatry Ctr Ltd is physically located?

The Hyde Park Podiatry Ctr Ltd is physically situated at the following address: 1644 E 53Rd St, Chicago, IL, 606154210.

What is Hyde Park Podiatry Ctr Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Hyde Park Podiatry Ctr Ltd is Primary Podiatric Medicine, and the corresponding taxonomy classification code for this specialized field is 213Ep1101X.

When was the Hyde Park Podiatry Ctr Ltd's 1447242862 issued?

The Hyde Park Podiatry Ctr Ltd's 1447242862 was issued on 2005-08-22.

When was the Hyde Park Podiatry Ctr Ltd's information last updated?

The Hyde Park Podiatry Ctr Ltd's information was last updated on 2011-03-23.

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