# NORTHSIDE FOOT & ANKLE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639507163
- **Authorized official:** TIMOTHY S KRUSE DPM (OWNER)
- **Authorized official phone:** (312) 280-7886

## Contact information

- **Practice address:** 750 N FRANKLIN ST, SUITE 102, CHICAGO, IL 60654-6263
- **Practice address phone:** (312) 280-7886
- **Practice address fax:** (312) 280-9547
- **Mailing address:** 750 N FRANKLIN ST STE 102, CHICAGO, IL 60654-3529
- **Mailing address phone:** (312) 280-7886
- **Mailing address fax:** (312) 280-9547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP0504X | Public Medicine Podiatrist | — | NULL | — |
| 213EP0504X | Public Medicine Podiatrist | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/18/2013
- **Last updated:** 10/07/2025