| NPI | 1063680064 |
|---|---|
| Doing Business As | THE GOOD FEET STORE |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE EDWARD BUCKMAN President 815-654-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 212000137) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-06-09 |