| NPI | 1053433854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH L SCHNEEBELI Office Manager 618-277-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016002799) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016004852) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-08-23 |