Organization
GVD PODIATRY HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE VICTORIA DAVID DPM (CEO PRESIDENT)
(815) 932-8161
Entity
Organization
Contact information
Practice address
1079 SOUTH MYRTLE AVENUE, KANKAKEE, IL 60901-5457
(815) 932-8161
Mailing address
1079 SOUTH MYRTLE AVENUE, KANKAKEE, IL 60901-5457
(815) 932-8161
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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