Gvd Podiatry Healthcare PC

NPI #1023128121 in Kankakee, Illinois

Provider Information

NPI Number
1023128121
Entity Type
Organization
Organization Name
Gvd Podiatry Healthcare PC
Primary Specialty
Podiatrist
Enumeration Date
Aug 30, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1079 SOUTH MYRTLE AVENUE
ZIP Code
60901-5457
Phone
(815) 932-8161

Authorized Official

Name
DR. GRACE VICTORIA DAVID, DPM
Title
CEO PRESIDENT
Phone
(815) 932-8161

Specialties & Taxonomy Codes

Specialty
Podiatrist

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Provider Name
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Organizations

Provider Name
Robert A. Raley Dpm Sc

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