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Organization
AGGEUS HEALTHCARE, P.C.
Active
Organization
AGGEUS HEALTHCARE, P.C.
Active
Other names
Midwest Podiatry Consultants, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEV GRAY DPM (PRESIDENT/CEO)
(773) 770-0140
Entity
Organization
Contact information
Practice address
10 S. RIVERSIDE PLAZA STE 19 EAST, AGGEUS HEALTHCARE, P.C., CHICAGO, IL 60606-3728
(773) 770-0140
(312) 277-6757
Mailing address
10 S. RIVERSIDE PLAZA, STE 19 EAST, CHICAGO, IL 60606-3728
(773) 770-0140
(312) 277-6757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
060.008927
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634862
BCBS
IL
05
—
2593804
—
OH
05
—
43267400
—
WI
01
—
C04991
MEDICARE
MN
01
—
DC8690
RR MEDICARE
IL
01
—
DC9200
RR MEDICARE
WI
01
—
OKB5080
MEDICARE
OK
Enumeration date
05/31/2006
Last updated
08/31/2012
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