Individual
PAMELA A EERNISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9050 W 81ST ST, JUSTICE, IL 60458-1350
(708) 594-3500
(708) 594-3524
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
(312) 337-2468
(312) 337-6912
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
16004918
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/03/2006
Last updated
02/14/2008
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