# GODFREY V. VIEGAS DPM, FOOT AND ANKLE CENTER, INC.

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

## Provider details

- **NPI number:** 1275770844
- **Authorized official:** DR. GODFREY VIEGAS DPM (OWNER/DOCTOR)
- **Authorized official phone:** (815) 356-0500

## Contact information

- **Practice address:** 280 MEMORIAL CT, SUITE C, CRYSTAL LAKE, IL 60014-6233
- **Practice address phone:** (815) 356-0500
- **Practice address fax:** (815) 356-0539
- **Mailing address:** 280 MEMORIAL CT, SUITE C, CRYSTAL LAKE, IL 60014-6233
- **Mailing address phone:** (815) 356-0500
- **Mailing address fax:** (815) 356-0539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016-004459 | IL | Yes |

## Other

- **Enumeration date:** 01/19/2009
- **Last updated:** 08/03/2009
