| NPI | 1215072277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELES M VALDES Podiatrist 773-248-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003592) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-10-30 |