Organization
AGGEUS HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEV GRAY DPM (CEO)
(773) 770-0140
Entity
Organization
Contact information
Practice address
4350 N BROADWAY ST, FL 2, CHICAGO, IL 60613-1781
(773) 770-0140
(773) 770-0141
Mailing address
4350 N BROADWAY ST, FL 2, CHICAGO, IL 60613-1781
(773) 770-0140
(773) 770-0141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
060008927
IL
Other
Enumeration date
05/22/2007
Last updated
07/02/2009
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