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NPI Code Detail

MEDICARE: HECTOR SANTIAGO DPM

MEDICARE: HECTOR SANTIAGO DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist016006061IL

General Provider Information

NPI Number : 1699354308
Entity Type Code : Individual
Provider Name (Legal Business Name) : HECTOR SANTIAGO DPM
Provider Business Mailing Address
First Line : 1660 FEEHANVILLE DR STE 450
Second Line :
City : MOUNT PROSPECT
State : IL
Zip : 60056-6023
Country : US
Telephone Number : 847-390-7666
Fax Number :
Provider Business Practice Location Address
First Line : 1660 FEEHANVILLE DR STE 100
Second Line :
City : MOUNT PROSPECT
State : IL
Zip : 60056-6019
Country : US
Telephone Number : 847-390-7666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2021
Last Update Date : 07/16/2024

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Directions to “ HECTOR SANTIAGO DPM” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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