Pam Eernisse DPM SC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

PAM EERNISSE DPM SC

Practice address

680 N Lake Shore Dr # 1305
Chicago, IL 60611-4546

Phone

(312) 337-2468

Fax

(312) 337-6912

NPI assigned

Jun 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pam Ann Eernisse, DPM

Title

Owner

Phone

(312) 337-2468

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela A Eernisse, DPM

  • Podiatrist
  • Justice, IL
  • NPI 1427036151
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659577575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 W 81ST ST",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604581350",
            "telephone_number": "708-594-3500",
            "fax_number": "708-594-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR # 1305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-337-2468",
            "fax_number": "312-337-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM EERNISSE DPM SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EERNISSE",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-337-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Anne Palumbo, M.D.
• Michael Palumbo, PHD
• Nicholas S Palumbo, R.D.
• Nicole Palumbo, M.A., BCBA
• Simy Paluvelil Mathew, DMD, BDS
• Pam Eernisse DPM SC
• Pamela E Smith MD MPH Ches SC
• Pamela E Smith MD MPH Ches SC
• Pamela L Tickel DC Inc. (Dr. Pamela Tickel Chiropractor)
• Janssen Barlaan Pamfilo

• Foot Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.