| NPI | 1255548202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEONARD BARON Owner 630-554-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ER0200X Podiatrist, Radiology (Licence: IL 016-003258) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016-003258) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-09-11 |