PAM EERNISSE DPM SC NPI 1659577575

NPI Information

PAM EERNISSE DPM SC is a foot surgery podiatrist in Chicago, IL. PAM EERNISSE DPM SC NPI is 1659577575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

680 N LAKE SHORE DR # 1305
CHICAGO, IL
ZIP 60611-546
Phone: (312) 337-2468
Fax: (312) 337-6912

The provider's authorized official is Pam Ann Eernisse .
The authorized official title is Owner and has the following contact phone number (312) 337-2468.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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