Provider Demographics
NPI:1720341035
Name:GARBULA, ANNA M (DPM)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:GARBULA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:CHRUPEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:PO BOX 848195
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90084-8195
Mailing Address - Country:US
Mailing Address - Phone:847-390-7666
Mailing Address - Fax:224-220-9743
Practice Address - Street 1:6 E SAINT CHARLES RD STE 100
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-2302
Practice Address - Country:US
Practice Address - Phone:630-206-3837
Practice Address - Fax:224-220-9743
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005581213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist