institution
Gold Coast Podiatry Center, Llc
Foot Surgery Podiatrist in Chicago, Illinois
NPI 1780854661

Gold Coast Podiatry Center, Llc is a Foot Surgery Podiatrist based in Chicago, IL and is specialized in Foot Surgery. Gold Coast Podiatry Center, Llc practices in Chicago, IL. The NPI Number for Gold Coast Podiatry Center, Llc is 1780854661 and holds a License No. (Illinois).

The current practice location address for Gold Coast Podiatry Center, Llc is 3000 N Halsted St, Chicago, IL and can be reached out via phone at 773-871-2250 and via fax at 773-697-0134.

Location: 3000 N Halsted St, Chicago, IL, 60643-1810
institution
Provider Profile Details
NPI Number
1780854661
Provider Name
Gold Coast Podiatry Center, Llc
Credential
Provider Entity Type
Organization
Address
3000 N Halsted St, Chicago, IL, 60643-1810
Phone Number
773-871-2250
Fax Number
773-697-0134
Provider Enumeration Date
03/06/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01623607 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
3000 N Halsted St
City
State
Zip
60657-5188
Phone Number
773-871-2250
Fax Number
773-697-0134
person
Provider Business Mailing Address Details
Address
3000 N Halsted St
City
State
Zip
60657-5188
Phone Number
773-871-2250
Fax Number
773-697-0134
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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