| NPI | 1134663172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD EL SAMAD Owner 773-445-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IN 07001024) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2017-01-27 |