Evanston Podiatric Surgeons Pc

LBN: Evanston Podiatric Surgeons Pc
Evanston Podiatric Surgeons Pc is an health care organization with primary practice located at 2500 Ridge Ave Suite 110, Evanston IL 60201-2455. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Evanston Podiatric Surgeons Pc can be contacted via phone (847) 475-9030, or through Hussain, Tayeb S via phone (847) 475-9030.

Contact Information

Primary practice address
2500 Ridge Ave Suite 110 Evanston IL 60201-2455
Phone: (847) 475-9030
Fax: (847) 475-9031
Website:
Map and Directions
Authorized official contact:
Name: Hussain, Tayeb S Doctor of Podiatric Medicine (DPM)
Phone: (847) 475-9030

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004816 Illinois

Profile Details

NPI number 1518969344
LBN Legal business name Evanston Podiatric Surgeons Pc
DBA Doing business as
Authorized official Hussain, Tayeb S Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518969344 NPPES
Illinois MEDICAID 016004816

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