MEDICARE: PARK MEDICAL & SURGICAL PLAZA

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	261QP1100X	Podiatric Clinic/Center

General Provider Information

NPI Number	:	1457423683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK MEDICAL & SURGICAL PLAZA

Provider Business Mailing Address
First Line	:	2621 N HALSTED ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2301
Country	:	US
Telephone Number	:	773-477-3670
Fax Number	:	773-871-1644

Provider Business Practice Location Address
First Line	:	2621 N HALSTED ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2301
Country	:	US
Telephone Number	:	773-477-3670
Fax Number	:	773-871-1644

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LEE R STEIN
Credential	:	DPM
Telephone Number	:	773-477-3670

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	09/25/2007

Similar Medicare Providers

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1679706121 — AMY ZIER & ASSOCIATES
Practice Location Address:

2619 N HALSTED ST
CHICAGO, IL
60614-2301

Practice Phone: 773-857-5578
Practice Fax: 773-755-7792

1437685955 — LINDSEY KEHLENBRINK OTR/L
Practice Location Address:

2619 N HALSTED ST , #2
CHICAGO, IL
60614-2301

Practice Phone: 317-439-2870
Practice Fax:

1619432366 — GINA VAUGHN
Practice Location Address:

2301 N CLARK ST
CHICAGO, IL
60614-3487

Practice Phone: 773-340-1897
Practice Fax:

1992394670 — VALERIA TARTACOVSCHI ELECTROLOGIST
Practice Location Address:

2301 N CLARK ST STE 2
CHICAGO, IL
60614-3487

Practice Phone: 252-722-5006
Practice Fax:

1659035632 — YASMIN FAYAZ ARNP, FNP-C
Practice Location Address:

2301 N CLARK ST STE 13
CHICAGO, IL
60614-3417

Practice Phone: 844-787-4874
Practice Fax:

Directions to “PARK MEDICAL & SURGICAL PLAZA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.