MEDICARE: EXTREMITY MEDICAL CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1134846579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXTREMITY MEDICAL CARE, INC

Provider Business Mailing Address
First Line	:	11801 SOUTHWEST HWY STE 4N
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1014
Country	:	US
Telephone Number	:	708-448-9300
Fax Number	:	708-448-9380

Provider Business Practice Location Address
First Line	:	11801 SOUTHWEST HWY STE 4N
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1014
Country	:	US
Telephone Number	:	708-448-9300
Fax Number	:	708-448-9380

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ATIYEH SALEM
Credential	:	DPM
Telephone Number	:	708-448-9300

Provider Enumeration Date	:	10/26/2022
Last Update Date	:	11/18/2025

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