NPI | 1013197920 |
---|---|
Entity Type | Organization |
Authorized Contact | EDGARDO RODRIGUEZ Physician 312-355-3939 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 16004892) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2007-11-07 |