Footco Orthopedic
Customized Equipment
3723 N Southport Ave, Chicago
Illinois, 60613-3718
312-409-2175 Footco Orthopedic is a Customized Equipment in Chicago, Illinois. It is located at 3723 N Southport Ave, Chicago and it's customer support contact number is 312-409-2175. The authorized person of Footco Orthopedic is Tim Porcelli, LC PED who is Director, Chief Clinician of this DME and his contact number is 312-409-2175. Active license number of Footco Orthopedic is 212.000115 for Customized Equipment in Illinois.
Footco Orthopedic is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Footco Orthopedic type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Footco Orthopedic |
| Type: | Customized Equipment |
| Location: | 3723 N Southport Ave, Chicago,
Illinois, 60613-3718 |
| Phone: | 312-409-2175 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Tim Porcelli |
| Credentials: | LC PED |
| Position: | Director, Chief Clinician |
| Contact Number: | 312-409-2175 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1124286927 |
| NPI Enumeration Date: | 28 May, 2008 |
| NPI Last Update On: | 28 May, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Footco Orthopedic are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 212.000115 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1670909 | Other | Illinois | Blue Cross |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 13377,
Chicago, Illinois |
| Zip: | 60613-0377 |
| Phone Number: | -- |
Patients can reach Footco Orthopedic at
3723 N Southport Ave, Chicago, Illinois or can
call on customer care at 312-409-2175.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.