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

Broadway Foot Clinic Corporation

Organization Podiatrist · NPI 1073510244

Broadway Foot Clinic Corporation is a Podiatrist in Gary, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005

Practice location Address checks out

3290 Grant St Ste 108
Gary, IN 46408-1015
Phone: (219) 884-7880
Fax: (219) 884-7880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 07000445A (IN)

Record details

NPI number1073510244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonny Ojikutu — Vice President · (219) 884-7880
NPI enumeratedJuly 3, 2005
Last updated in NPPESAugust 22, 2020
Mailing address3290 Grant St, Suite 108, Gary, IN 46408-1015

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