NPI 1598016503 · live from the CMS NPI Registry
Asg Onsite Podiatry Of Ia 1 PC
Podiatrist in Chicago, IL. National Provider Identifier 1598016503, active.
NPI record
| NPI | 1598016503 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 | October 1, 2012 |
| Last updated | October 1, 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.