| NPI | 1023002896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL FEDER President 773-202-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 060-001195) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 060-001195) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-01-25 |