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

Gold Coast Podiatry Center, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1780854661

Gold Coast Podiatry Center, LLC is a Foot & Ankle Surgery Podiatrist in Chicago, 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

3000 N Halsted St Ste 621
Chicago, IL 60657-5188
Phone: (773) 871-2250
Fax: (773) 697-0134
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 number1780854661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fortunee Massuda — Medical Director/Ceo · (773) 752-2111
NPI enumeratedMarch 6, 2008
Last updated in NPPESNovember 12, 2009
Mailing address9933 S Western Ave, Suite 102, Chicago, IL 60643-1810

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