OrganizationActive
Performance Podiatry Partners, LLC
NPI 1265942080 · Sports Medicine Podiatrist · Chicago, IL
Provider details
- NPI number
- 1265942080
- Entity type
- Organization
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Supna Reilly, Physician(508) 259-8466
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
4805 N Claremont Ave
Commercial Unit 1
Chicago, IL 60625
Phone: (312) 579-3150
Approximate (ZIP-level) locationGet directions
Mailing address
2120 N Winchester Ave
Chicago, IL 60614-3915
Registry dates
- Enumerated
- 2017-10-06
- Last updated
- 2017-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.