Gvd Podiatry Healthcare Pc in Kankakee - Podiatrist
Gvd Podiatry Healthcare Pc - NPI 1023128121
Gvd Podiatry Healthcare Pc is a Podiatrist in Kankakee, Illinois. Gvd Podiatry Healthcare Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Gvd Podiatry Healthcare Pc is 1023128121. The last update date is 2020-08-22.
Gvd Podiatry Healthcare Pc's current location address is 1079 South Myrtle Avenue, Kankakee, Illinois. You can contact this provider via phone number 8159328161. The mailing address for Gvd Podiatry Healthcare Pc is 1079 South Myrtle Avenue, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gvd Podiatry Healthcare Pc |
|---|---|
| Address | 1079 South Myrtle Avenue, Kankakee, Illinois |
| Phone Number | 8159328161 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO PRESID |
|---|---|
| Authorized Official Name | David Victoria Grace |
| Credentials | DPM |
| Telephone Number | 8159328161 |
NPI Number Detail
| NPI Number | 1023128121 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1079 South Myrtle Avenue |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609015457 |
| Phone Number | 8159328161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the Gvd Podiatry Healthcare Pc's 1023128121?
The Gvd Podiatry Healthcare Pc's NPI (National Provider Identifier) Number is 1023128121. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gvd Podiatry Healthcare Pc?
The Gvd Podiatry Healthcare Pc is physically situated at 1079 South Myrtle Avenue, in the city of Kankakee, state of IL, with the postal code 609015457.
What is Gvd Podiatry Healthcare Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gvd Podiatry Healthcare Pc is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date was the 1023128121 assigned to Gvd Podiatry Healthcare Pc?
The Gvd Podiatry Healthcare Pc was issued its 1023128121 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gvd Podiatry Healthcare Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gvd Podiatry Healthcare Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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