| NPI | 1245403120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BLANK President 312-642-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004427) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |