NPI 1003103045

Bryce Andrew Paschold, DPM

Practitioner Foot & Ankle Surgery Podiatrist Maywood, IL

Practice location

Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: (708) 216-4254
Mailing address: 20054 N 1000 East Rd, Carlock, IL 61725-9568

Registered specialties (3)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 135000742 (IL)

Other Podiatrist providers in Illinois →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 016005562 (IL)

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 016005562 (IL)

Registry record

NPI: 1003103045
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2011
Record last updated: 21 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.