Healthcare Provider Details

I. General information

NPI: 1215847850
Provider Name (Legal Business Name): GELBMANN FOOT AND ANKLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 W CHICAGO AVE STE 1
CHICAGO IL
60622-6553
US

IV. Provider business mailing address

1700 W CHICAGO AVE STE 1
CHICAGO IL
60622-6553
US

V. Phone/Fax

Practice location:
  • Phone: 312-243-3330
  • Fax: 312-880-0071
Mailing address:
  • Phone: 312-243-3330
  • Fax: 312-880-0071

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: MR. DEEPTESH DEY
Title or Position: MANAGER
Credential: DD
Phone: 312-243-3330