BEVERLY PODIATRY CENTER, LLC is a foot and ankle surgery podiatrist in Chicago, IL. BEVERLY PODIATRY CENTER, LLC NPI is 1790777118. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
9933 S WESTERN AVE
SUITE 102
CHICAGO, IL
ZIP 60643-810
Phone: (773) 445-8700
Fax: (773) 445-4646
The provider's authorized official is Fortunee Massuda .
The authorized official title is Medical Director/ceo and has the following contact phone number (773) 445-8700.
The enumeration date for this NPI number is 8/22/2005 and was last updated on 11/12/2009.