Michigan Ave Podiatry LLC 1
NPI 1881026185 · Foot & Ankle Surgery Podiatrist · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michigan Ave Podiatry LLC 1 is a Foot & Ankle Surgery Podiatrist organization in Chicago, IL (NPI 1881026185).
Provider details
- NPI number
- 1881026185
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Pam Eernisse, Stockholder(312) 701-0770
- License
- 016004918 (IL)
Specialties & taxonomies
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
12 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
- 2013-08-08
- Last updated
- 2015-08-26
Frequently asked questions
- What is Michigan Ave Podiatry LLC 1's NPI number?
- Michigan Ave Podiatry LLC 1's National Provider Identifier (NPI) is 1881026185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan Ave Podiatry LLC 1?
- Michigan Ave Podiatry LLC 1 is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Michigan Ave Podiatry LLC 1 located?
- Michigan Ave Podiatry LLC 1's practice location on file with NPPES is 30 N Michigan Ave, Chicago, IL 60602-3809.
- What is Michigan Ave Podiatry LLC 1's phone number?
- The practice phone number listed in the NPPES registry for Michigan Ave Podiatry LLC 1 is (312) 701-0770.
- Does Michigan Ave Podiatry LLC 1 accept Medicare?
- Michigan Ave Podiatry LLC 1 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 Michigan Ave Podiatry LLC 1?
- The authorized official listed on Michigan Ave Podiatry LLC 1's NPPES record is Pam Eernisse, Stockholder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan Ave Podiatry LLC 1's NPI active?
- Yes — Michigan Ave Podiatry LLC 1's NPI (1881026185) is active in the NPPES registry as of the last update on 2015-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.