Organization · Type 2 NPI
Godfrey V. Viegas Dpm, Foot and Ankle Center, Inc.
Foot & Ankle Surgery Podiatrist · Crystal Lake, IL
NPI number
1275770844
Active
Practice location
280 Memorial Ct, Suite C
Crystal Lake, IL 60014-6233
Fax (815) 356-0539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016-004459 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1275770844
Godfrey V. Viegas Dpm, Foot and Ankle Center, Inc.'s National Provider Identifier is 1275770844, issued on Jan 19, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Crystal Lake, IL. The record was last updated on Aug 3, 2009.