| NPI | 1104941574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E. DORAN President 630-739-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-08-05 |