=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174535249
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTINA GIOTIS SARANTOPOULOS D.P.M.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2006
-----------------------------------------------------
Last Update Date | 05/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 133 E BRUSH HILL RD STE 100
-----------------------------------------------------
City | ELMHURST
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60126-5660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-790-1872
-----------------------------------------------------
Fax | 630-428-3971
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | POB 7132960
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60677-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-469-9200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | 016-005177
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------