Edgewater Beach Foot And Ankle Center, P.C. in Evanston - Primary Podiatric Medicine
Edgewater Beach Foot And Ankle Center, P.C. - NPI 1780801548
Edgewater Beach Foot And Ankle Center, P.C. is a Primary Podiatric Medicine in Evanston, Illinois. Edgewater Beach Foot And Ankle Center, P.C. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Edgewater Beach Foot And Ankle Center, P.C. is 1780801548. The last update date is 2020-07-27.
Edgewater Beach Foot And Ankle Center, P.C.'s current location address is 800 Austin St Ste 508, Evanston, Illinois. You can contact this provider via phone number 7732710807 and fax number 4847237350. The mailing address for Edgewater Beach Foot And Ankle Center, P.C. is 800 Austin St Ste 508, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgewater Beach Foot And Ankle Center, P.C. |
|---|---|
| Address | 800 Austin St Ste 508, Evanston, Illinois |
| Phone Number | 7732710807 |
| Fax Number | 4847237350 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Kapnick J Benita |
| Telephone Number | 7732710807 |
NPI Number Detail
| NPI Number | 1780801548 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-07-27 |
Provider Mailing Address Detail
| Address | 800 Austin St Ste 508 |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602023445 |
| Phone Number | 7732710807 |
| Fax Number | 4847237350 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 16002871 |
|
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 |
|---|---|---|---|
| 480021114 | IL | MEDICARE PALMETTO | |
| 60000959 | IL | BLUE CROSS BLUE SHIELD | |
| 16002871 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Edgewater Beach Foot And Ankle Center, P.C. by the Centers for Medicare & Medicaid Services?
The Edgewater Beach Foot And Ankle Center, P.C. has been issued the NPI (National Provider Identifier) 1780801548. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edgewater Beach Foot And Ankle Center, P.C.?
The Edgewater Beach Foot And Ankle Center, P.C. is physically situated at 800 Austin St Ste 508, in the city of Evanston, state of IL, with the postal code 602023445.
What is Edgewater Beach Foot And Ankle Center, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edgewater Beach Foot And Ankle Center, P.C.'s specialized field of practice is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780801548 to Edgewater Beach Foot And Ankle Center, P.C.?
The Edgewater Beach Foot And Ankle Center, P.C. received its 1780801548 assignment from the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the Edgewater Beach Foot And Ankle Center, P.C.'s details last updated?
The information pertaining to the Edgewater Beach Foot And Ankle Center, P.C., including its address, specialty, and other details, was most recently updated on 2020-07-27.
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