Organization
GOLD COAST PODIATRY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FORTUNEE MASSUDA DPM (MEDICAL DIRECTOR/CEO)
(773) 752-2111
Entity
Organization
Contact information
Practice address
1605 CHICAGO AVE, EVANSTON, IL 60201-4504
(847) 424-9888
(847) 424-9649
Mailing address
9933 S WESTERN AVE, SUITE 102, CHICAGO, IL 60643-1810
(773) 233-3800
(773) 233-2513
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
213ES0131X
Foot Surgery Podiatrist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623607
BCBS
IL
Enumeration date
03/06/2008
Last updated
11/12/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us