Organization
ASG ONSITE PODIATRY OF SD 1 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEV GRAY DPM (PRESIDENT/CEO)
(773) 770-0140
Entity
Organization
Contact information
Practice address
10 S RIVERSIDE PLZ, STE 19 EAST, CHICAGO, IL 60606-3728
(773) 770-0140
(312) 277-6757
Mailing address
10 S RIVERSIDE PLZ, STE 19 EAST, CHICAGO, IL 60606-3728
(773) 770-0140
(312) 277-6757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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