Massuda, Fortunee

Massuda, Fortunee is an sole proprietor health care provider with primary practice located at 1644 E 53Rd St , Chicago IL 60615-4210. She recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Massuda, Fortunee can be contacted via phone (773) 752-2111.

Contact Information

Primary practice address
1644 E 53Rd St Chicago IL 60615-4210
Phone: (773) 752-2111
Fax: (773) 752-6703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016-003113 Illinois
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016-003113 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016003113 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003113 Illinois
Podiatric Medicine & Surgery Service Providers / Public Medicine 213EP0504X 016003113 Illinois
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 07000479A Indiana
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 07000479A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000479A Indiana
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000479A Indiana
Podiatric Medicine & Surgery Service Providers / Public Medicine 213EP0504X 07000479A Indiana

Profile Details

NPI number 1952307019
LBN Legal business name Massuda, Fortunee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Nov 12th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952307019 NPPES
Indiana MEDICAID 200-120890
Indiana Other 000000314554
Indiana Other 00000246499 65
Indiana Other 1374072-010
Indiana Other 4029837
Indiana Other L22239
Indiana Other 1374072-002

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