PAM EERNISSE DPM SC (NPI# 1417083080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417083080 |
| Entity Type | Organization |
| Organization Name | PAM EERNISSE DPM SC |
| Practice Address |
9050 W 81st St Justice IL 60458-1350 |
| Practice Telephone | 7083251050 |
| Practice Fax Number | 7085943526 |
| Mailing Telephone | 7085943500 |
| Mailing Fax Number | 7085943526 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | DR. PAM ANN EERNISSE (OWNER) |
| Authorized Official Telephone | 7085943500 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004918 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1831336379 | Pam Eernisse Dpm Sc | Durable Medical Equipment & Medical Supplies | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3402 | 2009-01-20 |
| Street Address |
9050 W 81ST ST |
| City | JUSTICE |
| State | IL |
| Zip Code | 60458-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754865 | Palos Pathology Associates Ltd | Pathology | 9050 W 81st St, Justice, IL 60458-1350 | 2005-07-19 |
| 1376782474 | Forest Counseling Service Inc | Counselor | 9050 W 81st St, Justice, IL 60458-1350 | 2009-02-12 |
| 1942464664 | Pamela Gill | Physical Therapist | 9050 W 81st St, Justice, IL 60458-1350 | 2008-07-11 |
| 1225208986 | James A. Gianfrancisco Md Ltd | Colon & Rectal Surgery | 9050 W 81st St, Justice, IL 60458-1350 | 2008-03-09 |
| 1184815987 | Mary I. Pitaro, M.d., Ltd. | Clinic/Center | 9050 W 81st St, Justice, IL 60458-1350 | 2007-08-06 |
| 1083804033 | Theodore Christou | Internal Medicine | 9050 W 81st St, Justice, IL 60458-1350 | 2007-07-26 |
| 1518083674 | Selena Estka | Physical Therapist | 9050 W 81st St, Justice, IL 60458-1350 | 2007-03-21 |
| 1336291236 | Justice Med Lab | Clinical Medical Laboratory | 9050 W 81st St, Justice, IL 60458-1350 | 2007-01-18 |
| 1184777823 | Justice Med-lab | Radiology | 9050 W 81st St, Justice, IL 60458-1350 | 2007-01-18 |
| 1225196124 | Mary Iria Pitaro | Internal Medicine | 9050 W 81st St, Justice, IL 60458-1350 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303450 | Anne Wildman | Social Worker | 8641 W 75th St, Justice, IL 60458 | 2017-08-24 |
| 1932450558 | Caring Hands Health Care Agency | Nurse's Aide | 8761 W. 85th Street, Apt 205 Bldg 17, Justice, IL 60458 | 2012-09-21 |
| 1700902681 | Moira Josephine O'connell | Physical Therapy Assistant | 9050 W.81st Street, Justice, IL 60458 | 2007-03-22 |
| 1497889687 | Indian Springs Sch Dist 109 | Clinic/Center | 7540 South 86th Ave, Justice, IL 60458 | 2007-03-16 |
| 1467429233 | Willow Springs Surgery Center, Ltd | Clinic/Center | 9050 W. 81st Street, Justice, IL 60458 | 2006-03-01 |
| 1750944591 | Melissa Maturo | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2019-04-17 |
| 1235605692 | Patrice Leann Mahoney | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2018-10-23 |
| 1417474081 | Jamie Zimmer | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2017-08-24 |
| 1366552408 | Gregory Paul Schubert | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2006-08-30 |
| 1063682714 | Gregory P Schubert Dds Ltd | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2008-03-10 |
| Find all providers in zip 60458 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
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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.