| NPI | 1033156955 |
|---|---|
| Former Legal Business Name | MIDWEST PODIATRY CONSULTANTS, LLC |
| Entity Type | Organization |
| Authorized Contact | YEV GRAY President/CEO 773-770-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 060.008927) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-08-31 |