Dr. Bryce Andrew Paschold, D.P.M.
Podiatrist, Foot & Ankle Surgery in Maywood, IL. Individual provider (NPI-1).
NPI number1003103045
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1003103045
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bryce Andrew Paschold
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2011
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 135000742 | IL | Yes |
| 213E00000X | Podiatrist | 016005562 | IL | |
| 213ES0131X | 016005562 | IL |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-4254
Mailing address
20054 N 1000 East RdCarlock, IL 61725-9568
Phone 309-242-3333
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All 20 Foot & Ankle Surgery Podiatrist providers in Maywood · All 2,653 providers in Maywood
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