Organization
GODFREY V. VIEGAS DPM, FOOT AND ANKLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODFREY VIEGAS DPM (OWNER/DOCTOR)
(815) 356-0500
Entity
Organization
Contact information
Practice address
280 MEMORIAL CT, SUITE C, CRYSTAL LAKE, IL 60014-6233
(815) 356-0500
(815) 356-0539
Mailing address
280 MEMORIAL CT, SUITE C, CRYSTAL LAKE, IL 60014-6233
(815) 356-0500
(815) 356-0539
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004459
IL
Other
Enumeration date
01/19/2009
Last updated
08/03/2009
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