GOLD COAST PODIATRY CENTER LLC NPI 1558531442

NPI Information

GOLD COAST PODIATRY CENTER, LLC is a foot and ankle surgery podiatrist in Chicago, IL. GOLD COAST PODIATRY CENTER, LLC NPI is 1558531442. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2511 N KEDZIE BLVD
2ND FLOOR
CHICAGO, IL
ZIP 60647-634
Phone: (773) 342-5850

The provider's authorized official is Fortunee Massuda .
The authorized official title is Medical Director/ceo and has the following contact phone number (773) 752-2111.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 7/3/2008.

Taxonomy Codes

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