MEDICARE: RYERSON PODIATRY CENTER

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		IL
2	213ES0131X	Foot Surgery Podiatrist		IL

General Provider Information

NPI Number	:	1861424368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYERSON PODIATRY CENTER

Provider Business Mailing Address
First Line	:	3048 N HARLEM AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4704
Country	:	US
Telephone Number	:	773-237-3544
Fax Number	:	773-237-0902

Provider Business Practice Location Address
First Line	:	3048 N HARLEM AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4704
Country	:	US
Telephone Number	:	773-237-3544
Fax Number	:	773-237-0902

Authorized Official
Title or Position	:	PODIATRIST
Name	:	MR. MARK A RYERSON
Credential	:	DPM
Telephone Number	:	773-237-3544

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	09/11/2025

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Directions to “RYERSON PODIATRY CENTER ” Practice Location

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