DR. GREGG MARTIN DELOSSANTOS


Address: 2024 W 79th St, Chicago, IL 60620-5720
Phone: 7734888100

DR. GREGG MARTIN DELOSSANTOS (NPI# 1184886517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184886517
Entity Type Individual
Full Name DR. GREGG MARTIN DELOSSANTOS
Practice Address 2024 W 79th St
Chicago
IL 60620-5720
Practice Telephone 7734888100
Mailing Telephone 7734888100
Enumeration Date 2008-06-26
Last Update Date 2008-06-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
016005158 IL Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 2024 W 79TH ST
City CHICAGO
State IL
Zip Code 60620-5720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619580545 Victory Pharmacy of Decatur Inc Pharmacy 2024 W 79th St, Chicago, IL 60620-5720 2020-08-29

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1598200164 Julie Rae Scott Social Worker 400 W 76th Street, Suite 226, Chicago, IL 60620 2017-01-05
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1164791810 Richard Kasper Pharmacist 7901 S Western, Chicago, IL 60620 2011-12-27
1992089916 Michawn Willis Pharmacist 8636 S Ashland, Chicago, IL 60620 2011-10-10
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821631367 Dr Christine Heck PC Podiatrist 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 2019-10-28
1013562578 Bishoy Atef Botros Podiatrist 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 2019-08-01
1346752656 Prairie Foot & Ankle, P.C. Podiatrist 7447 West Talcott Ave, Suite 406, Chicago, IL 60163-3275 2017-10-26
1558886549 Castle Podiatry, LLC Podiatrist 11628 S Western Ave, Chicago, IL 60643-4730 2017-08-10
1669854089 Adam Shapiro Podiatrist 3710 N Pine Grove Ave, Chicago, IL 60613-4186 2015-06-22
1891103925 Nathan Kramer Podiatrist 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 2014-08-01
1700292711 Archer Foot Clinic Podiatrist 3113 S Archer Ave, Chicago, IL 60608-6223 2014-07-10
1871909382 Rashad Sayeed Podiatrist 4646 N. Marine Drive, Chicago, IL 60640-0000 2014-07-03
1275964918 Aleksandr Komarov Dpm LLC Podiatrist 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 2013-12-05
1568895043 Allison Rottman Podiatrist 4734 N Beacon St, 2w, Chicago, IL 60640-4847 2013-08-19
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Competitor

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City CHICAGO
Zip Code 60620

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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