# SUBURBAN PODIATRY ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073817805
- **Authorized official:** DR. GREGORY MARTIN JANSYN D.P.M. (PRESIDENT)
- **Authorized official phone:** (630) 893-3668

## Contact information

- **Practice address:** 303 E ARMY TRAIL RD, SUITE \#101, BLOOMINGDALE, IL 60108-2169
- **Practice address phone:** (630) 893-3668
- **Practice address fax:** (630) 893-3670
- **Mailing address:** 303 E ARMY TRAIL RD, SUITE \#101, BLOOMINGDALE, IL 60108-2169
- **Mailing address phone:** (630) 893-3668
- **Mailing address fax:** (630) 893-3670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016-003968 | IL | Yes |

## Other

- **Enumeration date:** 01/09/2011
- **Last updated:** 02/22/2012