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NPI Code Detail

MEDICARE: DR. GAGE WINTERS DPM

MEDICARE: DR. GAGE WINTERS DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0004XOrthopaedic Foot and Ankle Surgery Physician135001209IL
2213ES0103XFoot & Ankle Surgery Podiatrist135001209IL

General Provider Information

NPI Number : 1043907942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAGE WINTERS DPM
Provider Business Mailing Address
First Line : 34079 N SOUTH CIRCLE DR
Second Line :
City : GRAYSLAKE
State : IL
Zip : 60030-1001
Country : US
Telephone Number : 847-989-7261
Fax Number :
Provider Business Practice Location Address
First Line : 355 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3399
Country : US
Telephone Number : 847-316-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2023
Last Update Date : 11/06/2025

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