Organization
PODOMEDIK CLINICS LLC.
Active
Other names
Gerardo Perez Single Member
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO PEREZ ESPINDOLA DPM (OWNER/PROVIDER)
(414) 719-4799
Entity
Organization
Contact information
Practice address
159 N GREENLEAF ST STE 1, GURNEE, IL 60031-3341
(847) 249-3888
(847) 574-7477
Mailing address
159 N GREENLEAF ST STE 1, GURNEE, IL 60031-3341
(847) 249-3888
(847) 574-7477
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
016005265
IL
261QP1100X
Podiatric Clinic/Center
91125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005265
—
IL
01
—
1932454279
GROUP NPI
WI
05
—
43241500
—
WI
01
—
IL4062
MEDICARE PTAN
IL
01
—
WI1874
MEDICARE PTAN
WI
Enumeration date
07/23/2012
Last updated
11/10/2023
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