OrganizationActive
Pam Eernisse DPM Sc
NPI 1417083080 · Foot & Ankle Surgery Podiatrist · Justice, IL
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
Detailed profile(89/100 index)
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
9050 W 81st St
Justice, IL 60458-1350
Phone: (708) 325-1050
Fax: (708) 594-3526
Street-level locationGet directions
Mailing address
9050 W 81st St
Justice, IL 60458-1350
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 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.