| NPI | 1013191287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLA IVANCEVIC Podiatrist 630-782-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: IL 016-004831) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2008-04-22 |