Northwest Podiatry Center

NPI 1063690741 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1063690741
Enumeration Date 02/05/2008
Last Updated 09/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GREGORY C GREGORY
Position PRESIDENT
Phone (630) 668-8277
Fax (630) 668-3358
Practice Location
705 WARRENVILLE RD
UNIT B
WHEATON IL, 60189-6379, US
Phone (630) 668-8277
Fax (630) 668-3358
Business Location
705 WARRENVILLE RD
UNIT B
WHEATON IL, 60189-6379, US
Phone (630) 668-8277
Fax (630) 668-3358
Toxanomy
Taxonomy Code 332B00000X
License State Illinois
License Number 16-2778
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According to our database, Northwest Podiatry Center NPI is 1063690741, taxonomy code is 332B00000X and license number is 16-2778, license state is located at Illinois. Northwest Podiatry Center physically located at 705 Warrenville Rd, Wheaton IL, 60189-6379. NPI Number 1033115704 has the healthcare provider type.

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1063690741 NPI number is provided on an as is basis without warranty of any kind. 1063690741 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Podiatry Center are for informational purposes only.