NPI 1811988041 · live from the CMS NPI Registry
Gregory Terry Amarantos, DPM
Podiatrist in Chicago, IL. National Provider Identifier 1811988041, active.
NPI record
| NPI | 1811988041 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 5215 N California Ave Ste F605, Chicago, IL 60625 |
| Practice phone | 847-390-7666 |
| Mailing address | 1660 Feehanville Dr Ste 450, Mount Prospect, IL 60056 |
| Enumerated | November 5, 2005 |
| Last updated | December 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 016-003331 (IL) |
| Podiatrist primary | 213E00000X | 016-003331 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.