Individual provider · Type 1 NPI

Marie Grace Jimenez Dangalan, CPED, CFO, CTO

Pedorthist · Chicago, IL

NPI number 1104722305 Active

Practice location

820 S Damen Ave
Chicago, IL 60612-3728

Call (224) 713-6485 Map

Mailing address

820 S. Damen Avenue, Ogden Building 3rd Floor
Chicago, IL 60612

Specialties and licenses

TaxonomyCodeLicense
Orthotic Fitter 225000000XCFO04547 (IL)
Pedorthist Primary 224L00000XCPED4548 (IL)

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

634 other providers at this address

About NPI 1104722305

Marie Grace Jimenez Dangalan, CPED, CFO, CTO's National Provider Identifier is 1104722305, issued on Oct 15, 2026. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 15, 2026.