IndividualActive
Bryce Paschold, D.P.M.
NPI 1003103045 · Foot & Ankle Surgery Podiatrist · Maywood, IL
Provider details
- NPI number
- 1003103045
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 016005562 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-4254
Approximate (ZIP-level) locationGet directions
Mailing address
20054 N 1000 East Rd
Carlock, IL 61725-9568
Registry dates
- Enumerated
- 2011-06-28
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.