| NPI | 1164724431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J WALTERS President 773-586-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003479) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2015-08-10 |