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Samuel Vinci, DPM
Podiatrist in Westmont, Illinois
NPI 1639165467

Samuel Vinci is a Podiatrist based in Chicago, IL. Samuel Vinci practices in Westmont, IL and has the professional credentials of DPM. The NPI Number for Samuel Vinci is 1639165467 and holds a License No. 016003414 (Illinois).

The current practice location address for Samuel Vinci is 303 W Ogden Ave Fl 2, Westmont, IL and can be reached out via phone at 630-510-6929 and via fax at 630-355-3273.

Location: 303 W Ogden Ave Fl 2, Westmont, IL, 60677-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639165467
Provider Name
Samuel Vinci
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
303 W Ogden Ave Fl 2, Westmont, IL, 60677-1260
Phone Number
630-510-6929
Fax Number
630-355-3273
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016003414 05 IL
480007268 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
303 W Ogden Ave Fl 2
City
Westmont
State
Illinois
Zip
60559-1419
Phone Number
630-510-6929
Fax Number
630-355-3273
person
Provider Business Mailing Address Details
Address
303 W Ogden Ave Fl 2
City
Westmont
State
Illinois
Zip
60559-1419
Phone Number
630-510-6929
Fax Number
630-355-3273
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016003414 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
016003414 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
016003414 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016003414 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
016003414 (Illinois)
Definition
Definition to come...
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