Gelles, Robert
Gelles, Robert is an sole proprietor health care provider with primary practice located at 7460 W College Dr Suite 101, Palos Heights IL 60463-1193. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Gelles, Robert can be contacted via phone (708) 671-9030.Contact Information
Primary practice address
7460 W College Dr Suite 101
Palos Heights IL 60463-1193
Phone: (708) 671-9030
Fax: (708) 671-9033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016003361 | Illinois |
Profile Details
| NPI number | 1902868607 |
|---|---|
| LBN Legal business name | Gelles, Robert |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jan 18th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902868607 | NPPES |
| Illinois | MEDICAID | 016003361 | |
| Illinois | Other | 363307387 |
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