| NPI | 1235384801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE LEWIS President 312-674-1191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004605) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2011-12-03 |