| 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 |