Individual
GREGORY TERRY AMARANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5215 N CALIFORNIA AVE STE F605, CHICAGO, IL 60625-8564
(847) 390-7666
(847) 390-9345
Mailing address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(847) 390-7666
(473) 909-3458
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-003331
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016-003331
IL
Other
Enumeration date
11/05/2005
Last updated
12/21/2021
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