| Dr Grace Victoria David, DPM | |
|
1079 South Myrtle Avenue, Kankakee, IL 60901-5457 | |
| (815) 932-8161 | |
| (815) 932-8161 |
| Full Name | Dr Grace Victoria David |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 32 Years |
| Location | 1079 South Myrtle Avenue, Kankakee, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467562561 | NPI | - | NPPES |
| 016004708 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016004708 (Illinois) | Primary |
| Provider Name | Gvd Podiatry Healthcare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023128121 PECOS PAC ID: 0648218826 Enrollment ID: O20050419000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grace Victoria David, DPM 1079 South Myrtle Avenue, Kankakee, IL 60901-5457 Ph: (815) 932-8161 | Dr Grace Victoria David, DPM 1079 South Myrtle Avenue, Kankakee, IL 60901-5457 Ph: (815) 932-8161 |
Gvd Podiatry Healthcare Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1079 South Myrtle Avenue, Kankakee, IL 60901 Phone: 815-932-8161 | |
Dr. Robert Alan Raley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 70 Meadowview Ctr, Suite 401, Kankakee, IL 60901 Phone: 815-932-1724 Fax: 815-932-1729 | |
Robert A. Raley Dpm Sc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 70 Meadowview Ctr, Suite 401, Kankakee, IL 60901 Phone: 815-932-1724 Fax: 815-932-1729 |