PAM EERNISSE DPM SC (NPI# 1659577575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659577575 |
| Entity Type | Organization |
| Organization Name | PAM EERNISSE DPM SC |
| Practice Address |
680 N Lake Shore Dr # 1305 Chicago IL 60611-4546 |
| Mailing Address |
9050 W 81st St Justice IL 60458-1350 |
| Practice Telephone | 3123372468 |
| Practice Fax Number | 3123376912 |
| Mailing Telephone | 7085943500 |
| Mailing Fax Number | 7085943526 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAM ANN EERNISSE (OWNER) |
| Authorized Official Telephone | 3123372468 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831336379 | Pam Eernisse Dpm Sc | Durable Medical Equipment & Medical Supplies | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3402 | 2009-01-20 |
| 1417083080 | Pam Eernisse Dpm Sc | Durable Medical Equipment & Medical Supplies | 9050 W 81st St, Justice, IL 60458-1350 | 2007-02-26 |
| Street Address |
680 N LAKE SHORE DR # 1305 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| 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 |
| 1205868551 | Angela Pezzuto | Podiatrist | 1424 E. 53rd St., Ste.301, Mitchell Foot and Ankle, Chicago, IL 60615 | 2006-07-07 |
| 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.