| NPI | 1144220724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE LOPEZ President 847-437-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 042-006737) |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2024-06-26 |