NPI | 1184027567 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT SHEFFEY Owner 708-226-0509 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016005133) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2014-09-30 |