| NPI | 1215067806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SPACCAPANICCIA Billing Administrator 630-369-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016-003407) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-09-09 |