Gelsomino, Steven

Gelsomino, Steven is an individual health care provider with primary practice located at 4700 W 95Th St Ste 306 , Oak Lawn IL 60453-2572. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gelsomino, Steven can be contacted via phone (708) 424-3334.

Contact Information

Primary practice address
4700 W 95Th St Ste 306 Oak Lawn IL 60453-2572
Phone: (708) 424-3334
Fax: (708) 430-4423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003252 Illinois

Profile Details

NPI number 1376618900
LBN Legal business name Gelsomino, Steven
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376618900 NPPES
Illinois MEDICAID 016003252

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