| NPI | 1104041243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON N KONDILES Owner 773-545-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036069430) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003993) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |