NPI | 1073948618 |
---|---|
Doing Business As | DAVISON-MCNEAL SC |
Entity Type | Organization |
Authorized Contact | KIBIBI DAVISON Owner 773-641-1489 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005441) |
Enumeration Date | 2013-09-12 |
Last Update Date | 2013-11-05 |