NORTHWEST INDIANA PODIATRY CLINIC, LLC

MUNSTER, IN
NPI1932305117
Entity TypeOrganization
Authorized ContactFORTUNEE MASSUDA
Medical Director & CEO
773-233-3800
Organization Subpart ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
Additional Taxonomies211D00000X Assistant, Podiatric
213E00000X Podiatrist
213EP0504X Podiatrist, Public Medicine
213EP1101X Podiatrist, Primary Podiatric Medicine
213ER0200X Podiatrist, Radiology
213ES0000X Podiatrist, Sports Medicine
213ES0131X Podiatrist, Foot Surgery
Enumeration Date2007-06-25
Last Update Date2009-11-12
Business Address
NORTHWEST INDIANA PODIATRY CLINIC, LLC
9134 COLUMBIA AVE SUITE B
MUNSTER, IN 46321-2907
Phone number: 219-836-3112
Mailing Address
NORTHWEST INDIANA PODIATRY CLINIC, LLC
9933 S WESTERN AVE SUITE 102
CHICAGO, IL 60643-1810
Phone number: 773-233-3800