Individual provider · NPI-1

Dr. David Alameda Jr., DPM

Podiatrist, Foot & Ankle Surgery · Chicago, IL

NPI number1962408864

StatusActive

Last updated in NPPESDec 20, 2021

Details

NPI: 1962408864
Entity type: Individual (NPI-1)
Name: Dr. David Alameda Jr.
Credential: DPM
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 24, 2005
Certification date: Dec 14, 2021
Last updated: Dec 20, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
213ES0103X	Podiatrist, Foot & Ankle Surgery	016003617	IL	Yes
213ES0131X		016-003617	IL
213E00000X	Podiatrist	016003617	IL
213EP0504X	Podiatrist, Public Medicine	016003617	IL
213EP1101X	Podiatrist, Primary Podiatric Medicine	016-003617	IL

Practice location

4959 W Belmont Ave
Chicago, IL 60641-4332

Phone 773-237-1122 · Fax 773-237-1222

Mailing address

4959 W Belmont Ave
Chicago, IL 60641-4332

Phone 773-237-1122 · Fax 773-237-1222

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.