GOLD COAST PODIATRY CENTER, LLC
NPI 1780854661
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since March 06, 2008
3000 N HALSTED ST, SUITE 621, CHICAGO, IL 60657(773) 871-2250(773) 697-0134 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1780854661) is a healthcare organization registered as a foot & ankle surgery in Chicago, 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

NPI1780854661
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGOLD COAST PODIATRY CENTER, LLC
Location Address3000 N HALSTED ST, SUITE 621Chicago, IL 60657-5188
Mailing Address9933 S Western Ave, Suite 102Chicago, IL 60643-1810 · (773) 233-3800 · Fax (773) 233-2513
Fax(773) 697-0134
Organization SubpartNo
Authorized OfficialFortunee MassudaMedical Director/ceo · (773) 752-2111
Enumeration DateMarch 6, 2008
Last NPPES UpdateNovember 12, 2009
NPI 1780854661 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
3000 N HALSTED ST, Chicago, IL 60657

Other Identifiers 6

Medicare PINCH4911
Other01623607IL · Bcbs
Medicare PIN581450IL
Medicare NSC4951050003IL
Medicare PINCH2456
Medicare PIN1780854661IL

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.

Surgery
3000 N HALSTED ST, SUITE 500
CHICAGO, IL 60657
Genetic Counselor, MS
3000 N HALSTED ST
CHICAGO, IL 60657
Podiatrist
3000 N HALSTED ST, SUITE 821
CHICAGO, IL 60657
Obstetrics & Gynecology (Gynecology)
3000 N HALSTED ST, SUITE 625
CHICAGO, IL 60657
Internal Medicine
3000 N HALSTED ST, SUITE 509
CHICAGO, IL 60657
Physician Assistant
3000 N HALSTED ST, SUITE 320
CHICAGO, IL 60657
Obstetrics & Gynecology
3000 N HALSTED ST
CHICAGO, IL 60657
Anesthesiology (Pain Medicine)
3000 N HALSTED ST
CHICAGO, IL 60657

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 1780854661. 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 3000 N Halsted St Suite 621, Chicago, IL 60657. The listed phone number is (773) 871-2250.

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.