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Breanna Angela Baltrusch

Podiatrist Prosthetist

2515 N Clark St Ste 802
Chicago , Illinois 60614-2730

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Image

Breanna Angela Baltrusch

Podiatrist Prosthetist

2515 N Clark St Ste 802
Chicago , Illinois 60614-2730

(312) 227-6210

Write a Review Save Call

Breanna Angela Baltrusch

Podiatrist Prosthetist

2515 N Clark St Ste 802
Chicago , Illinois 60614-2730

(312) 227-6210 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist
  • Prosthetist

Languages spoken

  • English

Location

2515 N Clark St Ste 802 Chicago , Illinois 60614-2730

First Address

  • Breanna Angela Baltrusch
  • 225 E Chicago Ave # 46
  • Chicago, IL
  • Zip : 60611-2991
  • Phone : (312) 227-6210

Second Address

  • Breanna Angela Baltrusch
  • 2515 N Clark St Ste 802
  • Chicago, IL
  • Zip : 60614-2730
  • Phone : (312) 227-6210

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FAQs


Where did Breanna Angela Baltrusch attend graduate school?

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Where did Breanna Angela Baltrusch do her residency?

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Where did Breanna Angela Baltrusch do her fellowship?

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Is Breanna Angela Baltrusch board certified?

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What type of doctor is Breanna Angela Baltrusch

Podiatrist

In what state does Breanna Angela Baltrusch practice in?

Illinois

Where is Breanna Angela Baltrusch ’s practice located?

2515 N Clark St Ste 802 , Chicago, Illinois, 60614-2730

What is Breanna Angela Baltrusch ’s gender?

Female

Is Breanna Angela Baltrusch a sole practitioner?

No

Is Breanna Angela Baltrusch accepting new patients?

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What languages does Breanna Angela Baltrusch speak?

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Does Breanna Angela Baltrusch accept insurance?

Yes, Breanna Angela Baltrusch accepts insurance

Does Breanna Angela Baltrusch offers telemedicine?

Breanna Angela Baltrusch has not indicated if she offers telemedicine

What is Breanna Angela Baltrusch ’s professional license number?

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What is Breanna Angela Baltrusch ’s NPI number?

1396371225

Does Breanna Angela Baltrusch have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213E00000X Podiatrist 213.000402 IL
Y 222Z00000X Podiatrist 213.000402 IL
N 224P00000X Prosthetist 211.000354 IL

National Provider Identifier

NPI 1396371225
Provider Name Breanna Angela Baltrusch
First Address Chicago, IL 60611-2991
Second Address Chicago, IL 60614-2730
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 23/03/2020
Last Update Date 23/03/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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