| NPI | 1023268901 |
|---|---|
| Other Name | FOOTCARE CLINIC P.C. |
| Entity Type | Organization |
| Authorized Contact | TEGAN AUGUSTINE THIMESCH President 773-267-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2010-02-23 |