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

Northside Foot & Ankle PC

Organization Public Medicine Podiatrist · NPI 1639507163

Northside Foot & Ankle PC is a Public Medicine Podiatrist in Chicago, Illinois. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

750 N Franklin St Ste 102
Chicago, IL 60654-6263
Phone: (312) 280-7886
Fax: (312) 280-9547
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
Public Medicine Podiatrist Taxonomy 213EP0504X
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X
Foot Surgery Podiatrist Taxonomy 213ES0131X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1639507163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Kruse — Owner · (312) 280-7886
NPI enumeratedOctober 18, 2013
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address750 N Franklin St Ste 102, Chicago, IL 60654-3529

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