Northside Foot & Ankle Pc

LBN: Northside Foot & Ankle Pc
Northside Foot & Ankle Pc is an health care organization with primary practice located at 750 N Franklin St Ste 102, Chicago IL 60654-6263. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Northside Foot & Ankle Pc can be contacted via phone (312) 280-7886, or through Kruse, Timothy Stephen via phone (312) 280-7886.

Contact Information

Primary practice address
750 N Franklin St Ste 102 Chicago IL 60654-6263
Phone: (312) 280-7886
Fax: (312) 280-9547
Website:
Map and Directions
Authorized official contact:
Name: Kruse, Timothy Stephen Doctor of Podiatric Medicine (DPM)
Phone: (312) 280-7886

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1447681127
LBN Legal business name Northside Foot & Ankle Pc
DBA Doing business as
Authorized official Kruse, Timothy Stephen Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2013
Last updated May 1st, 2023 - about last year

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 1447681127 NPPES
Illinois MEDICAID 016005211

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