| NPI | 1174785547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINOVIY RABINOVICH Owner Podiatrist 815-838-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005115) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2010-10-13 |