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

Michigan Ave Podiatry LLC 1

Organization Foot & Ankle Surgery Podiatrist · NPI 1881026185

Michigan Ave Podiatry LLC 1 is a Foot & Ankle Surgery Podiatrist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
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

30 N Michigan Ave Ste 720
Chicago, IL 60602-3809
Phone: (312) 701-0770
Fax: (312) 701-0705
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 · Licence 016004918 (IL)

Record details

NPI number1881026185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Eernisse — Stockholder · (312) 701-0770
NPI enumeratedAugust 8, 2013
Last updated in NPPESAugust 26, 2015
Mailing address30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809

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