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Evanston Podiatry Center
Foot Surgery Podiatrist in Evanston, Illinois
NPI 1043202559

Evanston Podiatry Center is a Foot Surgery Podiatrist based in Chicago, IL and is specialized in Foot Surgery. Evanston Podiatry Center practices in Evanston, IL. The NPI Number for Evanston Podiatry Center is 1043202559 and holds a License No. (Illinois).

The current practice location address for Evanston Podiatry Center is 1605 Chicago Ave, Evanston, IL and can be reached out via phone at 847-424-9888 and via fax at 847-424-9649.

Location: 1605 Chicago Ave, Evanston, IL, 60643-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043202559
Provider Name
Evanston Podiatry Center
Credential
Provider Entity Type
Organization
Address
1605 Chicago Ave, Evanston, IL, 60643-1810
Phone Number
847-424-9888
Fax Number
847-424-9649
Provider Enumeration Date
08/19/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600-15184 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
1605 Chicago Ave
City
Evanston
State
Illinois
Zip
60201-4504
Phone Number
847-424-9888
Fax Number
847-424-9649
person
Provider Business Mailing Address Details
Address
1605 Chicago Ave
City
Evanston
State
Illinois
Zip
60201-4504
Phone Number
847-424-9888
Fax Number
847-424-9649
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
(Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Public Medicine
Taxonomy
213EP0504X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
(Illinois)
Definition
Definition to come...
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