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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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