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 |