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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005158 | IL | Podiatric Medicine & Surgery Service Providers |
Street Address |
2024 W 79TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60620-5720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619580545 | Victory Pharmacy of Decatur Inc | Pharmacy | 2024 W 79th St, Chicago, IL 60620-5720 | 2020-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295358182 | Kenya Reed | Developmental Therapist | 8920 S Loomis St, Apt 116, Chicago, IL 60620 | 2020-05-26 |
1255820031 | Bnd Transportation | Non-emergency Medical Transport (VAN) | 9436 S Laflin St # 3, Chicago, IL 60620 | 2018-05-07 |
1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
1598200164 | Julie Rae Scott | Social Worker | 400 W 76th Street, Suite 226, Chicago, IL 60620 | 2017-01-05 |
1033521968 | James Towns | Clinical Exercise Physiologist | 9247 S. Wentworth, Chicago, IL 60620 | 2014-05-27 |
1629488788 | Renee Victoria Green | Counselor | 9415 S. Lowe, Chicago, IL 60620 | 2014-04-29 |
1588085138 | Steven Hsu | Chiropractor | 9415 S. Western Ave., Suite 207, Chicago, IL 60620 | 2013-12-30 |
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 |
1770884314 | Gjm Consultant Services PC | Home Health | 400 W. 76th Street, Suite 202, Chicago, IL 60620 | 2010-11-13 |
Find all providers in zip 60620 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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 |
Find all providers in CHICAGO |
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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.