NPI 1497982813

Vincent James Traverso, DPM

Practitioner Foot & Ankle Surgery Podiatrist Lombard, IL

Practice location

Address: 10 E 22nd St, Lombard, IL 60148-4977
Phone: (630) 953-8088
Mailing address: 723 W 31st St, Chicago, IL 60616-3006

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016005445 (IL)

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Registry record

NPI: 1497982813
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2009
Record last updated: 5 Feb 2015

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.