| Pam Eernisse Dpm Sc | |
|
9050 W 81st St, Justice, IL 60458-1350 | |
| (708) 325-1050 | |
| (708) 594-3526 |
| Full Name | Pam Eernisse Dpm Sc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 9050 W 81st St, Justice, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417083080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016004918 (Illinois) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Pamela A Eernisse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427036151 PECOS PAC ID: 2163523028 Enrollment ID: I20070720000881 |
| Provider Name | Stacey Lynne Oaks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063425361 PECOS PAC ID: 0648353631 Enrollment ID: I20080214000148 |
| Provider Name | Anna M Garbula |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720341035 PECOS PAC ID: 2466676085 Enrollment ID: I20150623002101 |
| Provider Name | Farheen Wahid |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659753523 PECOS PAC ID: 5092061184 Enrollment ID: I20180703000515 |
| Provider Name | Zane Irfan Qureshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376036806 PECOS PAC ID: 0840678512 Enrollment ID: I20220608002056 |
| Mailing Address | Practice Location Address |
|---|---|
| Pam Eernisse Dpm Sc 9050 W 81st St, Justice, IL 60458-1350 Ph: (708) 594-3500 | Pam Eernisse Dpm Sc 9050 W 81st St, Justice, IL 60458-1350 Ph: (708) 325-1050 |
Pamela A Eernisse, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9050 W 81st St, Justice, IL 60458 Phone: 708-594-3500 Fax: 708-594-3524 | |
Drs. Bonet And Doyle Ptrs Podiatrist Medicare: Medicare Enrolled Practice Location: 9050 W 81st St Ste 500, Justice, IL 60458 Phone: 708-352-5652 |