| Michigan Ave Podiatry Llc 1 | |
|
30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809 | |
| (312) 701-0770 | |
| (312) 701-0705 |
| Full Name | Michigan Ave Podiatry Llc 1 |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 30 N Michigan Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881026185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016004918 (Illinois) | Primary |
| Provider Name | Pamela A Eernisse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427036151 PECOS PAC ID: 2163523028 Enrollment ID: I20070720000881 |
| Provider Name | Anna M Garbula |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720341035 PECOS PAC ID: 2466676085 Enrollment ID: I20150623002101 |
| Provider Name | Asim Qureshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235665811 PECOS PAC ID: 5698197028 Enrollment ID: I20200612000391 |
| Provider Name | Hye Jin Yoo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366971590 PECOS PAC ID: 9133546765 Enrollment ID: I20200827003154 |
| Provider Name | Zane Irfan Qureshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376036806 PECOS PAC ID: 0840678512 Enrollment ID: I20220608002056 |
| Provider Name | Amer Sajid Hosain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538789490 PECOS PAC ID: 7517313745 Enrollment ID: I20231025000559 |
| Provider Name | Mohammad Usman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285250068 PECOS PAC ID: 7214387257 Enrollment ID: I20240103001345 |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Ave Podiatry Llc 1 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809 Ph: (312) 701-0770 | Michigan Ave Podiatry Llc 1 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809 Ph: (312) 701-0770 |
Dr. Kevin Paul Malone, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1715 E 95th St, Chicago, IL 60617 Phone: 773-768-4437 Fax: 773-564-3515 | |
Chicago Foot Clinic, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2801 W Cermak Rd, Chicago, IL 60623 Phone: 773-376-7200 Fax: 773-376-9211 | |
Darla Thomas, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1706 E 87th St, Chicago, IL 60617 Phone: 773-374-5300 | |
Dr. Petrina Chino, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-2245 | |
Dr. Marwan Zayed, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3631 N Harlem Ave, Chicago, IL 60634 Phone: 773-725-2953 Fax: 773-725-2932 | |
Michael Stefan Williams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2752 N Southport Ave, Chicago, IL 60614 Phone: 773-327-0006 | |
Chicago Foot & Ankle Deformity Correction Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 60 E Delaware Pl, Suite 1480, Chicago, IL 60611 Phone: 312-355-3939 |