MEDICARE: DR. DAVID ALAMEDA JR. DPM

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	213ES0131X	Foot Surgery Podiatrist	016-003617	IL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	016003617	IL
3	213E00000X	Podiatrist	016003617	IL
4	213EP0504X	Public Medicine Podiatrist	016003617	IL
5	213EP1101X	Primary Podiatric Medicine Podiatrist	016-003617	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000026502 28	OTHER	IL	UNITED HEALTHCARE
2	3106623-003	OTHER	IL	CIGNA
3	5852442	OTHER	IL	AETNA
4	3106623-005	OTHER	IL	CIGNA

General Provider Information

NPI Number	:	1962408864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ALAMEDA JR. DPM

Provider Business Mailing Address
First Line	:	4959 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4332
Country	:	US
Telephone Number	:	773-237-1122
Fax Number	:	773-237-1222

Provider Business Practice Location Address
First Line	:	4959 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4332
Country	:	US
Telephone Number	:	773-237-1122
Fax Number	:	773-237-1222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	12/20/2021

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Directions to “ DR. DAVID ALAMEDA JR. DPM” Practice Location

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