| NPI | 1346232873 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-08-19 |
| Last Updated | 2008-07-03 |
| Authorized Official | Fortunee Massuda Medical Director /CEO Phone: 7738712250 |
| Mailing Address | 9933 S Western Ave, Suite 102 Chicago, IL 60643-1810 United States Phone: (773) 233-3800 | Fax: (773) 233-2513 📍 View Map |
| Primary Practice Address | 3000 N Halsted St, Suite 621 Chicago, IL 60657-5188 United States Phone: (773) 871-2250 | Fax: (773) 697-0134 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IL | 216-22095 | BCBS |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 213E00000X – Podiatrist | IL | - |
| No | 213ES0131X – | IL | - |
| No | 213EP1101X – Podiatrist, Primary Podiatric Medicine | IL | - |
| No | 213EP0504X – Podiatrist, Public Medicine | IL | - |
| Yes | 213ES0103X – Podiatrist, Foot & Ankle Surgery | IL | - |
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About NPI 1346232873
Lake Shore Podiatry Center, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1346232873. The primary specialty listed is Podiatrist, Foot & Ankle Surgery. The organization is located in Chicago, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1346232873?
NPI 1346232873 belongs to Lake Shore Podiatry Center, Llc, a Podiatrist, Foot & Ankle Surgery in Chicago, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1346232873 active?
The current status of NPI 1346232873 in the NPPES registry is Active. The record was last updated on 2008-07-03.
What specialty is NPI 1346232873?
NPI 1346232873 is classified under the taxonomy Podiatrist, Foot & Ankle Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1346232873?
You can verify NPI 1346232873 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1346232873?
The primary practice address on file for NPI 1346232873 is 3000 N Halsted St, Chicago, IL 60657-5188. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1346232873 issued?
NPI 1346232873 was first issued (enumerated) on 2005-08-19. The NPPES record was last updated on 2008-07-03.
Practice Location Map
Lake Shore Podiatry Center, Llc is located at 3000 N Halsted St, Chicago, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lake Shore Podiatry Center, Llc. All records sourced from the CMS NPPES registry.