PAM EERNISSE DPM SC NPI 1659577575

NPI Information

  • NPI: 1659577575
  • Provider Name: PAM EERNISSE DPM SC
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • Address: 680 N LAKE SHORE DR # 1305
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 337-2468

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot 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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