Provider Demographics
NPI:1821576687
Name:PODIATRY AT YOUR DOOR BY DR. GARCIA, P.C.
Entity Type:Organization
Organization Name:PODIATRY AT YOUR DOOR BY DR. GARCIA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:708-669-6226
Mailing Address - Street 1:2440 S LARAMIE AVE UNIT 50646
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-5147
Mailing Address - Country:US
Mailing Address - Phone:708-320-1510
Mailing Address - Fax:773-847-4467
Practice Address - Street 1:1406 S CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-4520
Practice Address - Country:US
Practice Address - Phone:773-512-4938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005735213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty