Pam Eernisse DPM Sc
NPI 1417083080 · Foot & Ankle Surgery Podiatrist · Justice, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pam Eernisse DPM Sc is a Foot & Ankle Surgery Podiatrist organization in Justice, IL (NPI 1417083080).
Provider details
- NPI number
- 1417083080
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Pam Eernisse, Owner(708) 594-3500
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2012-12-06
Frequently asked questions
- What is Pam Eernisse DPM Sc's NPI number?
- Pam Eernisse DPM Sc's National Provider Identifier (NPI) is 1417083080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pam Eernisse DPM Sc?
- Pam Eernisse DPM Sc is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Pam Eernisse DPM Sc located?
- Pam Eernisse DPM Sc's practice location on file with NPPES is 9050 W 81st St, Justice, IL 60458-1350.
- What is Pam Eernisse DPM Sc's phone number?
- The practice phone number listed in the NPPES registry for Pam Eernisse DPM Sc is (708) 325-1050.
- Does Pam Eernisse DPM Sc accept Medicare?
- Pam Eernisse DPM Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pam Eernisse DPM Sc?
- The authorized official listed on Pam Eernisse DPM Sc's NPPES record is Pam Eernisse, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pam Eernisse DPM Sc's NPI active?
- Yes — Pam Eernisse DPM Sc's NPI (1417083080) is active in the NPPES registry as of the last update on 2012-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.