| NPI | 1184731663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOE SHELLER President 309-686-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003172) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-03-17 |