Provider Demographics
NPI:1043789332
Name:GELBMANN PODIATRY INC
Entity Type:Organization
Organization Name:GELBMANN PODIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GELBMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:773-205-0106
Mailing Address - Street 1:1440 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2822
Mailing Address - Country:US
Mailing Address - Phone:773-205-0106
Mailing Address - Fax:773-205-8107
Practice Address - Street 1:1440 S MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2822
Practice Address - Country:US
Practice Address - Phone:773-205-0106
Practice Address - Fax:773-205-8107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty