Organization · Type 2 NPI
Gold Coast Podiatry Center, LLC
Foot & Ankle Surgery Podiatrist · Evanston, IL
NPI number
1154591048
Active
Practice location
1605 Chicago Ave
Evanston, IL 60201-4504
Fax (847) 424-9649
Mailing address
9933 S Western Ave, Suite 102
Chicago, IL 60643-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
| Foot Surgery Podiatrist | 213ES0131X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Evanston
About NPI 1154591048
Gold Coast Podiatry Center, LLC's National Provider Identifier is 1154591048, issued on Mar 6, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Evanston, IL. The record was last updated on Nov 12, 2009.