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Contact Information

ORLAND PODIATRY CENTER, LLC
9645 W 143RD ST
ORLAND PARK, IL60462-2068
 Phone: 708-403-3668
 Fax: 708-403-3684
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ORLAND PODIATRY CENTER, LLC

NPI Number 1356333777
LBN Legal business name ORLAND PODIATRY CENTER, LLC
Authorized official FORTUNEE MASSUDA - (MEDICAL DIRECTOR/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2005
Last updated 07/17/2008 - About 18 years ago
Identifiers
IL Other 016-19093 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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