Healthcare Provider Details

I. General information

NPI: 1720341035
Provider Name (Legal Business Name): ANNA M GARBULA DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNA M CHRUPEK DPM

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 E SAINT CHARLES RD STE 100
LOMBARD IL
60148-2302
US

IV. Provider business mailing address

PO BOX 848195
LOS ANGELES CA
90084-8195
US

V. Phone/Fax

Practice location:
  • Phone: 630-206-3837
  • Fax: 224-220-9743
Mailing address:
  • Phone: 847-390-7666
  • Fax: 224-220-9743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number016005581
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number016005581
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: