Individual
VSEVOLOD GRINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
183 W 1ST ST, ELMHURST, IL 60126-2815
(630) 530-3338
(630) 560-6402
Mailing address
183 W 1ST ST, ELMHURST, IL 60126-2815
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.006073
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598508186
NPI
—
Enumeration date
06/28/2019
Last updated
07/29/2024
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