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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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