| NPI | 1093951303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELES VALDES Owner 773-248-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005127) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2019-11-11 |