OrganizationActive
Northwest Indiana Podiatry Clinic, LLC
NPI 1922204106 · Podiatric Assistant · Merrillville, IN
Provider details
- NPI number
- 1922204106
- Entity type
- Organization
- Primary specialty
- Podiatric AssistantPodiatric Medicine & Surgery Service Providers
- Authorized official
- Fortunee Massuda, Medical Director & Ceo
Mailing address
9933 S Western Ave
Chicago, IL 60643-1810
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.