NPI | 1114239951 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE CARIOSCIA President 708-579-0047 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004560) |
Enumeration Date | 2010-07-09 |
Last Update Date | 2017-10-19 |