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Individual
ROBERT GELLES
Active
Individual
ROBERT GELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003361
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003361
—
IL
01
—
363307387
TAX ID
IL
Enumeration date
04/06/2006
Last updated
01/18/2022
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