Northwest Indiana Podiatry Clinic, Llc in Chicago - Radiology
Northwest Indiana Podiatry Clinic, Llc - NPI 1639375058
Northwest Indiana Podiatry Clinic, Llc is a Radiology in Chicago, Illinois. Northwest Indiana Podiatry Clinic, Llc practices all healthcare services and medical treatments related to Radiology. 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 |
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Address | 9933 S Western Ave, Chicago, Illinois |
Phone Number | 7732333800 |
Fax Number | 7732332513 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Massuda Fortunee |
Credentials | DPM |
Telephone Number | 7732333800 |
NPI Number Detail
NPI Number | 1639375058 |
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Provider Enumeration Date | 2007-06-22 |
Last Updated Date | 2009-11-12 |
Provider Mailing Address Detail
Address | 9933 S Western Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606431810 |
Phone Number | 7732333800 |
Fax Number | 7732332513 |
Provider's Primary Taxonomy Detail
Speciality | Radiology |
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Taxonomy | 213Er0200X |
Definition: A doctor of podiatric medicine who specializes in medical imaging of the lower extremities. |
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 Radiology, and the corresponding taxonomy code is 213Er0200X.
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.
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