ANGELA PEZZUTO (NPI# 1205868551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205868551 |
| Entity Type | Individual |
| Full Name | ANGELA PEZZUTO |
| Credential | D.P.M. |
| Practice Address |
1424 E. 53rd St., Ste.301 Mitchell Foot and Ankle Chicago IL 60615 |
| Practice Telephone | 7733243338 |
| Mailing Telephone | 7733243338 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
016004902 | IL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1424 E. 53RD ST., STE.301 MITCHELL FOOT AND ANKLE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269301 | Jillian Cabai | Podiatrist | 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 | 2016-04-01 |
| 1710279641 | Prpodiatry, LLC | Podiatrist | 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 | 2011-05-11 |
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1740259365 | Douglas A Diekevers | Podiatrist | 3000 Halsted St, Suite 525, Chicago, IL 60603-5902 | 2006-03-16 |
| 1851385553 | Sloan V Metz | Podiatrist | 3700 W 26th St, Chicago, IL 60623-3824 | 2005-09-08 |
| 1902890395 | Darrell R Latva | Podiatrist | 1108 S Kedzie Ave, Chicago, IL 60612-3935 | 2005-08-31 |
| 1063810778 | Foot First Podiatry Centers Vpc | Podiatrist | 30 S Michigan Ave, Suite 302, Chicago, IL 60603-3211 | 2014-12-11 |
| 1942632856 | Jeffrey Moy | Podiatrist | 3632 N Western Ave, Chicago, IL 60618-4715 | 2013-08-01 |
| 1780960831 | Charles Caplis Dpm Sc | Podiatrist | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3402 | 2011-11-02 |
| 1417116609 | Alameda Foot Centers, PC | Podiatrist | 3000 N Halsted St, Suite 611, Chicago, IL 60657-5188 | 2008-06-03 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.