NPI | 1073765970 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID B HILTZIK Pres 847-336-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-004380) |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
Enumeration Date | 2008-10-22 |
Last Update Date | 2022-05-17 |