NPI | 1114179215 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE R STEIN Owner 847-433-4441 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004996) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2015-04-30 |