NPI | 1194777698 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN J TENCZAR President 773-594-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 060-008508) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2008-04-22 |