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

Evanston Podiatry Center

Organization Podiatrist · NPI 1043202559

Evanston Podiatry Center is a Podiatrist in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
5

Practice location Address checks out

1605 Chicago Ave
Evanston, IL 60201-4504
Phone: (847) 424-9888
Fax: (847) 424-9649
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)
Podiatrist Taxonomy 213E00000X (IL)
Public Medicine Podiatrist Taxonomy 213EP0504X (IL)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X (IL)
Foot Surgery Podiatrist Taxonomy 213ES0131X (IL)

Record details

NPI number1043202559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fortunee Massuda — Medical Director & Ceo · (847) 424-9888
NPI enumeratedAugust 19, 2005
Last updated in NPPESJuly 3, 2008
Mailing address9933 S Western Ave, Suite 102, Chicago, IL 60643-1810

Other providers in Evanston