Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANA GUSTAFSON, DPM
ActiveDANA GUSTAFSON, DPM is a Podiatrist healthcare provider located in MAYWOOD, Illinois. NPI 1407352289 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · MAYWOOD, IL
Registration Details
- NPI Number
- 1407352289
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2018 (8.4059806645836 yrs)
- Last Updated
- Jul 24, 2018
- License
-
135.001016 (IL)
Practice Information
- Address
-
2160 S 1ST AVEMAYWOOD, IL, 601533328Browse IL providers · Browse ZIP 60153
- Phone
- 7082169000
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.