Individual
ROBERT GELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7460 W COLLEGE DR, SUITE 101, PALOS HEIGHTS, IL 60463-1193
(708) 671-9030
(708) 671-9033
Mailing address
7460 W COLLEGE DR, SUITE 101, PALOS HEIGHTS, IL 60463-1193
(708) 671-9030
(708) 671-9033
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003361
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003361
—
IL
01
—
363307387
TAX ID
IL
Enumeration date
04/06/2006
Last updated
01/18/2022
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