| NPI | 1003546623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL SCOTT WEIL CEO 847-390-7666 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |