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EVANSTON PODIATRY CENTER
NPI 1043202559
Podiatrist - Foot & Ankle Surgery in Evanston, IL

Active since August 19, 2005
1605 CHICAGO AVE, EVANSTON, IL 60201(847) 424-9888(847) 424-9649 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evanston Podiatry Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANSTON PODIATRY CENTER (NPI 1043202559) is a healthcare organization registered as a foot & ankle surgery in Evanston, Illinois and active in the NPI registry since August 2005. The organization lists Fortunee Massuda, Medical Director & Ceo, as its authorized official.

NPPES Registry Identity

NPI1043202559
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameEVANSTON PODIATRY CENTER
Location Address1605 CHICAGO AVEEvanston, IL 60201-4504
Mailing Address9933 S Western Ave, Suite 102Chicago, IL 60643-1810 · (847) 424-9888 · Fax (847) 424-9649
Phone(847) 424-9888
Fax(847) 424-9649
Organization SubpartNo
Authorized OfficialFortunee MassudaMedical Director & Ceo · (847) 424-9888
Enumeration DateAugust 19, 2005
Last NPPES UpdateJuly 3, 2008
✔ NPI 1043202559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
1605 CHICAGO AVE, Evanston, IL 60201
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Other Identifiers 4

Medicare PINCB4982
Medicare ID-Type Unspecified990520IL · Medicare
Other600-15184IL · Bcbs
Medicare NSC0894110002IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLD COAST PODIATRY CENTER, LLC
Podiatrist (Foot & Ankle Surgery)
1605 CHICAGO AVE
EVANSTON, IL 60201
Cook County (847) 424-9888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evanston Podiatry Center's NPI number?

The NPI number for Evanston Podiatry Center is 1043202559. It was assigned to this organization in the NPPES registry on August 19, 2005.

Where is Evanston Podiatry Center located?

Evanston Podiatry Center is located at 1605 Chicago Ave, Evanston, IL 60201. The listed phone number is (847) 424-9888.

What is Evanston Podiatry Center's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Evanston Podiatry Center was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.