Beverly Podiatry Center, LLC
NPI 1790777118 · Foot & Ankle Surgery Podiatrist · Chicago, IL
Beverly Podiatry Center, LLC is a Foot & Ankle Surgery Podiatrist organization in Chicago, IL (NPI 1790777118).
Provider details
- NPI number
- 1790777118
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Fortunee Massuda, Medical Director/Ceo(773) 445-8700
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
- Primary Podiatric Medicine Podiatrist213EP1101X
Podiatric Medicine & Surgery Service Providers
- Public Medicine Podiatrist213EP0504X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-08-22
- Last updated
- 2009-11-12
Frequently asked questions
- What is Beverly Podiatry Center, LLC's NPI number?
- Beverly Podiatry Center, LLC's National Provider Identifier (NPI) is 1790777118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beverly Podiatry Center, LLC?
- Beverly Podiatry Center, LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Beverly Podiatry Center, LLC located?
- Beverly Podiatry Center, LLC's practice location on file with NPPES is 9933 S Western Ave, Chicago, IL 60643-1810.
- What is Beverly Podiatry Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Beverly Podiatry Center, LLC is (773) 445-8700.
- Who is the authorized official for Beverly Podiatry Center, LLC?
- The authorized official listed on Beverly Podiatry Center, LLC's NPPES record is Fortunee Massuda, Medical Director/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beverly Podiatry Center, LLC's NPI active?
- Yes — Beverly Podiatry Center, LLC's NPI (1790777118) is active in the NPPES registry as of the last update on 2009-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.