| Organization Name: | GITERSONKE FOOT CLINIC, PC |
| NPI Number: | 1124215876 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEGGY DOLORES GITERSONKE (OFFICE MANAGER) |
| Mailing Address: | 2412 Corporate Ctr Granite City |
| State: | IL US |
| Postal Code: | 620404192 |
| Phone Number: | 6189313338 |
| Fax Number: | 6189314905 |
| NPI Enumeration Date: | 09/26/2007 |
| NPI Last Update Date: | 01/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |