| NPI | 1184339376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZUBAIR KHAN Owner/Authorized Official 815-229-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-02-12 |