NPI 1194828624
Eugene Edmund Dezanek, DPM
Practice location
- Address
- 2 Talcott Road Suite #23, Park Ridge, IL 60068
- Phone
- (847) 692-3700
- Fax
- (847) 692-3838
Registered specialties
Podiatrist
Primary
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.