Gerardo Perez Single Member
LBN: Podomedik Clinics Llc.
Gerardo Perez Single Member is an health care organization with primary practice located at 159 N Greenleaf St Ste 1 , Gurnee IL 60031-3341. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty.
Podomedik Clinics Llc. can be contacted via phone (847) 249-3888, or through Perez Espindola, Gerardo via phone (414) 719-4799.
Contact Information
Primary practice address
159 N Greenleaf St Ste 1
Gurnee IL 60031-3341
Phone: (847) 249-3888
Fax: (847) 574-7477
Website:
Authorized official contact:
Name: Perez Espindola, Gerardo Doctor of Podiatric Medicine (DPM)
Phone: (414) 719-4799
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Podiatric | 261QP1100X | 016005265 | Illinois |
| Ambulatory Health Care Facilities / Podiatric | 261QP1100X | 91125 | Wisconsin |
Profile Details
| NPI number | 1932454279 |
|---|---|
| LBN Legal business name | Podomedik Clinics Llc. |
| DBA Doing business as | Gerardo Perez Single Member |
| Authorized official | Perez Espindola, Gerardo Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2012 |
| Last updated | Nov 10th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932454279 | NPPES |
| Illinois | MEDICAID | 016005265 | |
| Illinois | MEDICAID | 43241500 | |
| Illinois | Other | WI1874 | |
| Illinois | Other | IL4062 | |
| Illinois | Other | 1932454279 |
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