| NPI | 1134163595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS F RADZIWIECKI President/CEO 219-838-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 52000081A) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-12-31 |