Individual provider · Type 1 NPI

Fortunee Massuda, DPM

Foot & Ankle Surgery Podiatrist · Chicago, IL

NPI number 1952307019 Active

Practice location

1644 E 53rd St
Chicago, IL 60615-4210

Call (773) 752-2111 Map

Fax (773) 752-6703

Mailing address

9933 S Western Ave, Ste 102
Chicago, IL 60643-1810

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist 213EP1101X016-003113 (IL)
Foot Surgery Podiatrist 213ES0131X016-003113 (IL)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016003113 (IL)
Podiatrist 213E00000X016003113 (IL)
Public Medicine Podiatrist 213EP0504X016003113 (IL)
Primary Podiatric Medicine Podiatrist 213EP1101X07000479A (IN)
Foot Surgery Podiatrist 213ES0131X07000479A (IN)
Foot & Ankle Surgery Podiatrist 213ES0103X07000479A (IN)
Podiatrist 213E00000X07000479A (IN)
Public Medicine Podiatrist 213EP0504X07000479A (IN)

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

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About NPI 1952307019

Fortunee Massuda, DPM's National Provider Identifier is 1952307019, issued on Jun 23, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Nov 12, 2009.