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MICHIGAN AVE PODIATRY LLC 1
NPI 1881026185
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since August 08, 2013
30 N MICHIGAN AVE, SUITE 720, CHICAGO, IL 60602(312) 701-0770(312) 701-0705 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michigan Ave Podiatry Llc 1 NPPES

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

MICHIGAN AVE PODIATRY LLC 1 (NPI 1881026185) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since August 2013. The organization lists Pam A Eernisse, Stockholder, as its authorized official.

NPPES Registry Identity

NPI1881026185
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMICHIGAN AVE PODIATRY LLC 1
Location Address30 N MICHIGAN AVE, SUITE 720Chicago, IL 60602-3809
Mailing Address30 N Michigan Ave, Suite 720Chicago, IL 60602-3809 · (312) 701-0770 · Fax (312) 701-0705
Phone(312) 701-0770
Fax(312) 701-0705
Organization SubpartNo
Authorized OfficialPam A EernisseStockholder · (312) 701-0770
Enumeration DateAugust 8, 2013
Last NPPES UpdateAugust 26, 2015
✔ NPI 1881026185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016004918
30 N MICHIGAN AVE, Chicago, IL 60602
Open in Google Maps ↗

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 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.

TIMOTHY M. CROWE DMD PC
Dentist (General Practice)
30 N MICHIGAN AVE, SUITE 1329
CHICAGO, IL 60602
Cook County (312) 782-2844
AYESHA SIDDIQI M.D.
Allergy & Immunology
30 N MICHIGAN AVE, #1107
CHICAGO, IL 60602
Cook County (312) 236-3642
SUSAN LYNN PELTON PH.D.
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1703
CHICAGO, IL 60602
Cook County (312) 909-9699
MS. BETTY B. SMITH LCSW, BCD
Social Worker (Clinical)
30 N MICHIGAN AVE, SUITE 1518
CHICAGO, IL 60602
Cook County (312) 201-1301
DR. KEVIN D DOW D.D.S
Dentist (General Practice)
30 N MICHIGAN AVE, SUITE #1506
CHICAGO, IL 60602
Cook County (312) 372-4845
MARYSUE MASTEY LCPC
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 1002
CHICAGO, IL 60602
Cook County (847) 302-8647
DR. NADIA PERSHAD PSY.D.
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1203
CHICAGO, IL 60602
Cook County (773) 495-8905
MRS. ERINN WILLIAMS LPC
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 424
CHICAGO, IL 60602
Cook County (312) 279-9981

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 Michigan Ave Podiatry LLC 1's NPI number?

The NPI number for Michigan Ave Podiatry LLC 1 is 1881026185. It was assigned to this organization in the NPPES registry on August 8, 2013.

Where is Michigan Ave Podiatry LLC 1 located?

Michigan Ave Podiatry LLC 1 is located at 30 N Michigan Ave Suite 720, Chicago, IL 60602. The listed phone number is (312) 701-0770.

What is Michigan Ave Podiatry LLC 1'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 Michigan Ave Podiatry LLC 1 was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.