Footco Orthopedic in Chicago - Customized Equipment
Footco Orthopedic - NPI 1124286927
Footco Orthopedic is a Customized Equipment in Chicago, Illinois. Footco Orthopedic practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Footco Orthopedic is 1124286927. The last update date is 2008-05-28.
Footco Orthopedic's current location address is 3723 N Southport Ave, Chicago, Illinois. You can contact this provider via phone number 3124092175. The mailing address for Footco Orthopedic is 3723 N Southport Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Footco Orthopedic |
|---|---|
| Address | 3723 N Southport Ave, Chicago, Illinois |
| Phone Number | 3124092175 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR, |
|---|---|
| Authorized Official Name | Porcelli Tim |
| Credentials | LC PED |
| Telephone Number | 3124092175 |
NPI Number Detail
| NPI Number | 1124286927 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2008-05-28 |
Provider Mailing Address Detail
| Address | 3723 N Southport Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606133718 |
| Phone Number | 3124092175 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | 212.000115 |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1670909 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Footco Orthopedic by the Centers for Medicare & Medicaid Services?
The Footco Orthopedic has been issued the NPI (National Provider Identifier) 1124286927. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Footco Orthopedic's physical address?
The Footco Orthopedic is physically located at 3723 N Southport Ave, in the city of Chicago, IL, with the postal code 606133718.
What is Footco Orthopedic'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 Footco Orthopedic is Customized Equipment, and the taxonomy classification code that categorizes this area of expertise is 332Bc3200X.
On what date did the Footco Orthopedic receive the assignment of its 1124286927 from the Centers for Medicare & Medicaid Services?
The Footco Orthopedic was issued its 1124286927 by the Centers for Medicare & Medicaid Services on 2008-05-28.
As of what date were the details related to Footco Orthopedic most recently updated or revised?
The information pertaining to Footco Orthopedic, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-28.