Individual provider · Type 1 NPI

Bryce Andrew Paschold, D.P.M.

Foot & Ankle Surgery Podiatrist · Maywood, IL

NPI number 1003103045 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (708) 216-4254 Map

Mailing address

20054 N 1000 East Rd
Carlock, IL 61725-9568

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X016005562 (IL)
Foot Surgery Podiatrist 213ES0131X016005562 (IL)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X135000742 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1003103045

Bryce Andrew Paschold, D.P.M.'s National Provider Identifier is 1003103045, issued on Jun 28, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Maywood, IL. The record was last updated on Nov 21, 2024.