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HYDE PARK PODIATRY CTR LTD
NPI 1447242862
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since August 22, 2005
1644 E 53RD ST, CHICAGO, IL 60615(773) 752-2111(773) 233-6703 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hyde Park Podiatry Ctr Ltd NPPES

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

HYDE PARK PODIATRY CTR LTD (NPI 1447242862) is a healthcare organization registered as a foot & ankle surgery in Chicago, 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

NPI1447242862
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameHYDE PARK PODIATRY CTR LTD
Location Address1644 E 53RD STChicago, IL 60615-4210
Mailing Address9933 S Western Ave, Suite102Chicago, IL 60643-1810 · (773) 233-3800 · Fax (773) 233-2513
Phone(773) 752-2111
Fax(773) 233-6703
Organization SubpartNo
Authorized OfficialFortunee MassudaMedical Director & Ceo · (773) 752-2111
Enumeration DateAugust 22, 2005
Last NPPES UpdateMarch 23, 2011
✔ NPI 1447242862 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
1644 E 53RD ST, Chicago, IL 60615
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Other Identifiers 6

Medicare PINCI12485
Medicare PIN1447242862IL
Medicare ID-Type Unspecified658393IL
Medicare NSC0852860002IL
Other600-15187IL · Bcbs
Medicare ID-Type Unspecified658393IL · Medicare

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 20

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

CRAIG LEE OETJENS DPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6540
MARY GRASSANO DPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
LAURA CAMPBELL PT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
HYDE PARK SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 752-6340
THOMAS MACNEILL-ZIMMERMAN D.C.
Chiropractor
1644 E 53RD ST, SUITE A
CHICAGO, IL 60615
Cook County (773) 322-1123
AMANDA P WOODS
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
ROLANDO JARA OT
Occupational Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
AMANDA WYATT MPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 214-6450

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 Hyde Park Podiatry Ctr Ltd's NPI number?

The NPI number for Hyde Park Podiatry Ctr Ltd is 1447242862. It was assigned to this organization in the NPPES registry on August 22, 2005.

Where is Hyde Park Podiatry Ctr Ltd located?

Hyde Park Podiatry Ctr Ltd is located at 1644 E 53rd St, Chicago, IL 60615. The listed phone number is (773) 752-2111.

What is Hyde Park Podiatry Ctr Ltd'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 Hyde Park Podiatry Ctr Ltd was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.