person
Fortunee Massuda, DPM
Public Medicine Podiatrist in Chicago, Illinois
NPI 1952307019

Fortunee Massuda is a Public Medicine Podiatrist based in Chicago, IL and is specialized in Public Medicine. Fortunee Massuda practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Fortunee Massuda is 1952307019 and holds a License No. 016-003113 (Illinois).

The current practice location address for Fortunee Massuda is 1644 E 53Rd St, Chicago, IL and can be reached out via phone at 773-752-2111 and via fax at 773-752-6703. You can also correspond with Fortunee Massuda through the mailing address at 9933 S WESTERN AVE, CHICAGO, IL - 60643-1810 (mailing address contact number: 773-445-8700).

Location: 1644 E 53Rd St, Chicago, IL, 60643-1810
person
Provider Profile Details
NPI Number
1952307019
Provider Name
Fortunee Massuda
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1644 E 53Rd St, Chicago, IL, 60643-1810
Phone Number
773-752-2111
Fax Number
773-752-6703
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200-120890 05 IN
000000314554 01 IN ANTHEM
00000246499 65 01 IL UNITED HEALTHCARE
1374072-010 01 IL CIGNA
4029837 01 IL AETNA
L22239 01 IL PIN NUMBER
1374072-002 01 IL CIGNA
institution
Provider Business Practice Location Address Details
Address
1644 E 53Rd St
City
State
Zip
60615-4210
Phone Number
773-752-2111
Fax Number
773-752-6703
person
Provider Business Mailing Address Details
Address
9933 S Western Ave
City
State
Zip
60643-1810
Phone Number
773-445-8700
Fax Number
773-445-4646
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
016003113 (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
License No.
016003113 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
016003113 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-003113 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
016-003113 (Illinois)
Definition
Definition to come...
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