Dr. Bryce Andrew Paschold
Foot & Ankle Surgery
2160 S 1st Ave
Maywood
, Illinois 60153-3328
Dr. Bryce Andrew Paschold
Foot & Ankle Surgery
2160 S 1st Ave
Maywood
, Illinois 60153-3328
(309) 242-3333
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Bryce Andrew Paschold
- 20054 N 1000 East Rd
- Carlock, IL
- Zip : 61725-9568
- Phone : (309) 242-3333
Second Address
- Dr. Bryce Andrew Paschold
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone : (708) 216-4254
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 135000742 | IL |
National Provider Identifier
| NPI | 1003103045 |
|---|---|
| Provider Name | Dr. Bryce Andrew Paschold |
| First Address | Carlock, IL 61725-9568 |
| Second Address | Maywood, IL 60153-3328 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2011 |
| Last Update Date | 28/06/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.