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 |