PAM EERNISSE DPM SC
NPI 1417083080
Podiatrist - Foot & Ankle Surgery in Justice, IL

Active since February 26, 2007
9050 W 81ST ST, JUSTICE, IL 60458(708) 325-1050(708) 594-3526 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pam Eernisse Dpm Sc NPPES

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

PAM EERNISSE DPM SC (NPI 1417083080) is a healthcare organization registered as a foot & ankle surgery in Justice, Illinois and active in the NPI registry since February 2007. The organization lists Pam Ann Eernisse, Owner, as its authorized official.

NPPES Registry Identity

NPI1417083080
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePAM EERNISSE DPM SC
Location Address9050 W 81ST STJustice, IL 60458-1350
Mailing Address9050 W 81st StJustice, IL 60458-1350 · (708) 594-3500 · Fax (708) 594-3526
Fax(708) 594-3526
Organization SubpartNo
Authorized OfficialPam Ann EernisseOwner · (708) 594-3500
Enumeration DateFebruary 26, 2007
Last NPPES UpdateDecember 6, 2012
NPI 1417083080 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
License Licensed in IL · 016004918
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
9050 W 81ST ST, Justice, IL 60458

Other Identifiers 1

Medicare NSC5747540001

Other Providers at the Same Location NPPES 14

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

Internal Medicine
9050 W 81ST ST
JUSTICE, IL 60458
Radiology (Diagnostic Radiology)
9050 W 81ST ST
JUSTICE, IL 60458
Clinic/Center (Primary Care)
9050 W 81ST ST
JUSTICE, IL 60458
Internal Medicine
9050 W 81ST ST
JUSTICE, IL 60458
Colon & Rectal Surgery
9050 W 81ST ST
JUSTICE, IL 60458
General Practice
9050 W 81ST ST
JUSTICE, IL 60458
Clinical Medical Laboratory
9050 W 81ST ST
JUSTICE, IL 60458
Counselor (Addiction (Substance Use Disorder))
9050 W 81ST ST
JUSTICE, IL 60458

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 Pam Eernisse Dpm Sc's NPI number?

The NPI number for Pam Eernisse Dpm Sc is 1417083080. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Pam Eernisse Dpm Sc located?

Pam Eernisse Dpm Sc is located at 9050 W 81st St, Justice, IL 60458. The listed phone number is (708) 325-1050.

What is Pam Eernisse Dpm Sc'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 Pam Eernisse Dpm Sc was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.