Individual provider · Type 1 NPI

Gregg Martin Delossantos

Foot & Ankle Surgery Podiatrist · Chicago, IL

NPI number 1184886517 Active

Practice location

2839 W Madison St
Chicago, IL 60612-1925

Call (773) 533-5500 Map

Fax (773) 533-0945

Mailing address

39671 Treasury Ctr
Chicago, IL 60694-9600

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016005158 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1184886517

Gregg Martin Delossantos's National Provider Identifier is 1184886517, issued on Jun 26, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Apr 7, 2023.