HYDE PARK PODIATRY CTR LTD; NPI #1447242862

Contact Information

HYDE PARK PODIATRY CTR LTD

1644 E 53RD ST
CHICAGO, IL 60615-4210

Phone: 773-752-2111
Fax: 773-233-6703
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

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NPI Profile & details for HYDE PARK PODIATRY CTR LTD

NPI # 1447242862

LBN Legal business name HYDE PARK PODIATRY CTR LTD

Authorized official FORTUNEE MASSUDA - (MEDICAL DIRECTOR & CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/22/2005

Last updated 03/23/2011 - About 15 years ago

Identifiers

Other

600-15187

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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HYDE PARK PODIATRY CTR LTD

Contact Information

Specialty

Surgery, Foot & Ankle

Podiatrist

Primary Podiatric Medicine

Public Health

Surgery, Foot

NPI Profile & details for HYDE PARK PODIATRY CTR LTD

Reviews for HYDE PARK PODIATRY CTR LTD