SUBURBAN PODIATRY ASSOCIATES P.C. NPI 1073817805

NPI Information

SUBURBAN PODIATRY ASSOCIATES, P.C. is a foot and ankle surgery podiatrist in Bloomingdale, IL. SUBURBAN PODIATRY ASSOCIATES, P.C. NPI is 1073817805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

303 E ARMY TRAIL RD
SUITE #101
BLOOMINGDALE, IL
ZIP 60108-169
Phone: (630) 893-3668
Fax: (630) 893-3670

The provider's authorized official is Gregory Martin Jansyn .
The authorized official title is President and has the following contact phone number (630) 893-3668.

The enumeration date for this NPI number is 1/9/2011 and was last updated on 2/22/2012.

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:

Other Identifiers

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