Individual
GREGORY M JANSYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016-003968
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016-003968
IL
Other
Enumeration date
10/17/2006
Last updated
01/09/2011
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