Gold Coast Podiatry Center, LLC
Gold Coast Podiatry Center, LLC is a Foot & Ankle Surgery Podiatrist in Evanston, 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.
Practice location Address checks out
1605 Chicago AveEvanston, IL 60201-4504
Phone: (847) 424-9888
Fax: (847) 424-9649
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1154591048 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fortunee Massuda — Medical Director/Ceo · (773) 752-2111 |
| NPI enumerated | March 6, 2008 |
| Last updated in NPPES | November 12, 2009 |
| Mailing address | 9933 S Western Ave, Suite 102, Chicago, IL 60643-1810 |
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