| NPI | 1104558311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ALLEN MCENEANEY Owner/CEO 847-639-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-08-19 |