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Individual

DR. PAUL GREGORY LANTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5758 S MARYLAND AVE # NC9015, CHICAGO, IL 60637-1426
(773) 834-7711
(773) 834-7205
Mailing address
5758 S MARYLAND AVE # NC9015, CHICAGO, IL 60637-1426
(773) 834-7711
(773) 834-7205

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
000878
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005737
IL

Other

Enumeration date
07/12/2013
Last updated
08/05/2020
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