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Gold Coast Podiatry Center, LLC

Foot & Ankle Surgery Podiatrist in Evanston, IL · enumerated 2008 · authorized official Fortunee Massuda, Medical Director/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154591048

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Registry record

Entity type Organization (Type 2)
Legal business name Gold Coast Podiatry Center, LLC
Practice address 1605 Chicago Ave, Evanston, IL, 60201
Phone (847) 424-9888
Fax (847) 424-9649
Enumeration date Mar 6, 2008
Last updated in NPPES Nov 12, 2009

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Primary
213ES0131X Foot Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

Authorized official

Name Fortunee Massuda
Title Medical Director/Ceo
Phone (773) 752-2111

Other identifiers

Identifier Type State Issuer
01623607 Other IL BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Gold Coast Podiatry Center, LLC?
The NPI for Gold Coast Podiatry Center, LLC is 1154591048, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Gold Coast Podiatry Center, LLC?
NPPES lists Fortunee Massuda (Medical Director/Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-12.