DR. GREGG MARTIN DELOSSANTOS NPI 1184886517

NPI Information

NPI: 1184886517
Provider Name: DR. GREGG MARTIN DELOSSANTOS
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
2839 W MADISON ST
CHICAGO, IL
ZIP 60612
Phone: (773) 533-5500
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DR. Gregg Martin Delossantos is a foot and ankle surgery podiatrist in Chicago, IL with 22 years of experience. DR. Gregg Martin Delossantos NPI is 1184886517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2002

The provider's business location address is:

2839 W MADISON ST
CHICAGO, IL
ZIP 60612-925
Phone: (773) 533-5500
Fax: (773) 533-0945

The NPI 1184886517 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/26/2008 and was last updated on 4/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016005158	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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