Edgewater Beach Foot And Ankle Center, P.C.

LBN: Edgewater Beach Foot And Ankle Center, P.C.
Edgewater Beach Foot And Ankle Center, P.C. is an health care organization with primary practice located at 5331 N Sheridan Rd , Chicago IL 60640-2531. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as the primary health care specialty. Edgewater Beach Foot And Ankle Center, P.C. can be contacted via phone (773) 271-0807, or through Kapnick, Benita J via phone (773) 271-0807.

Contact Information

Primary practice address
5331 N Sheridan Rd Chicago IL 60640-2531
Phone: (773) 271-0807
Fax: (484) 723-7350
Website:
Map and Directions
Authorized official contact:
Name: Kapnick, Benita J
Phone: (773) 271-0807

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016002871 Illinois

Profile Details

NPI number 1780801548
LBN Legal business name Edgewater Beach Foot And Ankle Center, P.C.
DBA Doing business as
Authorized official Kapnick, Benita J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 27th, 2020 - about 5 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 1780801548 NPPES
Illinois Other 480021114 MEDICARE PALMETTO
Illinois Other 60000959 MEDICARE PALMETTO
Illinois MEDICAID 016002871 MEDICARE PALMETTO

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