| NPI | 1093944522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA COHEN Podiatrist 773-282-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005305) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2011-01-26 |