PAM EERNISSE DPM SC NPI 1831336379

NPI Information

  • NPI: 1831336379
  • Provider Name: PAM EERNISSE DPM SC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 30 N MICHIGAN AVE
    SUITE 720
    CHICAGO, IL
    ZIP 60602
  • Phone: (312) 701-0770

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NPI Details

PAM EERNISSE DPM SC is a foot and ankle surgery podiatrist in Chicago, IL. PAM EERNISSE DPM SC NPI is 1831336379. The provider is registered as an organization entity type.

The provider's business location address is:

30 N MICHIGAN AVE
SUITE 720
CHICAGO, IL
ZIP 60602-402
Phone: (312) 701-0770
Fax: (312) 701-0705

The provider's authorized official is Pamela Ann Eernisse .
The authorized official title is Owner and has the following contact phone number (312) 701-0770.

The enumeration date for this NPI number is 1/20/2009 and was last updated on 12/6/2012.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213ES0103XPodiatristFoot & Ankle Surgery016004918ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15747540002MEDICARE NSCILLINOIS

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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