Whalio Doctors

NPI 1194828624

Eugene Edmund Dezanek, DPM

Practitioner Podiatrist Park Ridge, IL

Practice location

Address
2 Talcott Road Suite #23, Park Ridge, IL 60068
Phone
(847) 692-3700
Fax
(847) 692-3838

Registered specialties

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Registry record

NPI
1194828624
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.