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Organization

SUBURBAN PODIATRY ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY MARTIN JANSYN D.P.M. (PRESIDENT)
(630) 893-3668
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
01/09/2011
Last updated
02/22/2012
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