GOLD COAST PODIATRY CENTER, LLC
NPI 1154591048
Podiatrist - Foot & Ankle Surgery in Evanston, IL

Q: What is Gold Coast Podiatry Center, LLC's NPI number?

The NPI number for Gold Coast Podiatry Center, LLC is 1154591048. It was assigned to this organization in the NPPES registry on March 6, 2008.

Q: What is Gold Coast Podiatry Center, LLC's specialty?

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

Active since March 06, 2008

1605 CHICAGO AVE, EVANSTON, IL 60201(847) 424-9888(847) 424-9649 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gold Coast Podiatry Center, Llc NPPES

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

GOLD COAST PODIATRY CENTER, LLC (NPI 1154591048) is a healthcare organization registered as a foot & ankle surgery in Evanston, Illinois and active in the NPI registry since March 2008. The organization lists Fortunee Massuda, Medical Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1154591048

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameGOLD COAST PODIATRY CENTER, LLC

Location Address1605 CHICAGO AVEEvanston, IL 60201-4504

Mailing Address9933 S Western Ave, Suite 102Chicago, IL 60643-1810 · (773) 233-3800 · Fax (773) 233-2513

Phone(847) 424-9888

Fax(847) 424-9649

Organization SubpartNo

Authorized OfficialFortunee MassudaMedical Director/ceo · (773) 752-2111

Enumeration DateMarch 6, 2008

Last NPPES UpdateNovember 12, 2009

✔ NPI 1154591048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X

1605 CHICAGO AVE, Evanston, IL 60201

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Other Identifiers 6

Medicare PIN1154591048IL

Other01623607IL · Bcbs

Medicare PIN581450IL

Medicare PINCH2456

Medicare NSC4951050002IL

Medicare PINCB4982

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.

EVANSTON PODIATRY CENTER

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 Gold Coast Podiatry Center, LLC's NPI number?

The NPI number for Gold Coast Podiatry Center, LLC is 1154591048. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is Gold Coast Podiatry Center, LLC located?

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

What is Gold Coast Podiatry Center, LLC'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 Gold Coast Podiatry Center, LLC was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.