NPI 1346590890 · live from the CMS NPI Registry
Asg Onsite Podiatry Of Mn 1 PC
Podiatrist in Chicago, IL. National Provider Identifier 1346590890, active.
NPI record
| NPI | 1346590890 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 10 S Riverside Plz, Ste 19 East, Chicago, IL 60606 |
| Practice phone | 773-770-0140 |
| Enumerated | September 12, 2012 |
| Last updated | September 12, 2012 |
| Authorized official | Yev Gray, President/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.