| NPI | 1104338516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURAD ABDEL-QADER Owner 219-688-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005230) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005230) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |