| NPI | 1164779401 |
|---|---|
| Doing Business As | THE OAK PARK PODIATRIST |
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK FORD Sole Proprieter 708-660-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016-004746) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-20 |