Northwest Indiana Podiatry Clinic, Llc in Chicago - Radiology
Northwest Indiana Podiatry Clinic, Llc - NPI 1932305117
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 1932305117. 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 |
---|---|
Address | 9933 S Western Ave, Chicago, Illinois |
Phone Number | 7732333800 |
Fax Number | 7732332513 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
---|---|
Authorized Official Name | Massuda Fortunee |
Credentials | DPM |
Telephone Number | 7732333800 |
NPI Number Detail
NPI Number | 1932305117 |
---|---|
Provider Enumeration Date | 2007-06-25 |
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 | 7732333800 |
Fax Number | 7732332513 |
Provider's Primary Taxonomy Detail
Speciality | Radiology |
---|---|
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 |
---|---|---|---|
200124730E | IN | -- | |
90001145 | IN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1932305117 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Northwest Indiana Podiatry Clinic, Llc?
The Northwest Indiana Podiatry Clinic, Llc is situated at 9933 S Western Ave, in the city of Chicago, state of IL, with the zip code 606431810.
What is Northwest Indiana Podiatry Clinic, Llc'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 Northwest Indiana Podiatry Clinic, Llc is Radiology, and the taxonomy classification code that categorizes this area of expertise is 213Er0200X.
When did the Northwest Indiana Podiatry Clinic, Llc receive its 1932305117?
The Northwest Indiana Podiatry Clinic, Llc was issued its 1932305117 on 2007-06-25, which is the date when the organization was assigned this unique identifier.
When was the information regarding Northwest Indiana Podiatry Clinic, Llc most recently updated?
The details pertaining to the Northwest Indiana Podiatry Clinic, Llc, including its address, specialty, and other relevant information, were last refreshed on 2009-11-12.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN