| NPI | 1245418847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA VERA PAOLUCCI Owner 815-436-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016004460) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 0016004462) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |