NPI | 1184184186 |
---|---|
Entity Type | Organization |
Authorized Contact | VADIM GOSHKO Dpm / Owner 773-205-0106 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2019-03-25 |
Last Update Date | 2019-03-25 |