| NPI | 1154560308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M COSCINO President 630-261-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: IL 016004563) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |