| NPI | 1073817805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MARTIN JANSYN President 630-893-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-003968) |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2012-02-22 |