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1720341035 NPI number — ANNA M GARBULA DPM

NPI Number: 1720341035
Health Care Provider/Practitioner: ANNA M GARBULA DPM

Information about “1720341035” NPI (ANNA M GARBULA DPM) exists in 1720341035 in HTML format HTML  |  1720341035 in plain Text format TXT  |  1720341035 in PDF (Portable Document Format) PDF  |  1720341035 in an XML format XML  formats.

NPI Number : 1720341035 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720341035",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARBULA",
    "FirstName": "ANNA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHRUPEK",
    "OtherFirstName": "ANNA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPM",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 848195",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90084-8195",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-390-7666",
    "MailingAddressFaxNumber": "224-220-9743",
    "FirstLinePracticeLocationAddress": "6 E SAINT CHARLES RD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOMBARD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60148-2302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-206-3837",
    "PracticeLocationAddressFaxNumber": "224-220-9743",
    "EnumerationDate": "06/21/2012",
    "LastUpdateDate": "08/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "213E00000X",
          "TaxonomyName": "Podiatrist",
          "LicenseNumber": "016005581",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "213ES0103X",
          "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
          "LicenseNumber": "016005581",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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