Healthcare Provider Details

I. General information

NPI: 1043789332
Provider Name (Legal Business Name): GELBMANN PODIATRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 S MICHIGAN AVE
CHICAGO IL
60605-2822
US

IV. Provider business mailing address

1440 S MICHIGAN AVE
CHICAGO IL
60605-2822
US

V. Phone/Fax

Practice location:
  • Phone: 773-205-0106
  • Fax: 773-205-8107
Mailing address:
  • Phone: 773-205-0106
  • Fax: 773-205-8107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DAVID GELBMANN
Title or Position: PODIATRIST
Credential: DPM
Phone: 773-205-0106