RIVER NORTH SURGICAL SUITE NPI 1164541025

NPI Information

  • NPI: 1164541025
  • Provider Name: RIVER NORTH SURGICAL SUITE
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 467 W ERIE ST
    CHICAGO, IL
    ZIP 60610
  • Phone: (312) 337-9900

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NPI Details

RIVER NORTH SURGICAL SUITE is a foot and ankle surgery podiatrist in Chicago, IL. RIVER NORTH SURGICAL SUITE NPI is 1164541025. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

467 W ERIE ST
CHICAGO, IL
ZIP 60610-004
Phone: (312) 337-9900
Fax: (312) 337-9902

The provider's authorized official is Leslie Nancy Mejia .
The authorized official title is Billing Manager and has the following contact phone number (312) 337-9900.

The enumeration date for this NPI number is 3/29/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery06005134ILLINOISNo
2213ES0103XPodiatristFoot & Ankle SurgeryILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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