Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Podiatry Center, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1316117211

Beverly Podiatry Center, LLC is a Foot & Ankle Surgery Podiatrist in Orland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9501 W 144th Pl 106
Orland Park, IL 60462-2561
Phone: (708) 403-3668
Fax: (708) 403-3684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X (IL)
Foot Surgery Podiatrist Taxonomy 213ES0131X (IL)

Record details

NPI number1316117211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fortunee Massuda — Medical Director/Ceo · (773) 752-2111
NPI enumeratedMarch 6, 2008
Last updated in NPPESDecember 17, 2011
Mailing address9933 S Western Ave, Suite 102, Chicago, IL 60643-1810

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