| NPI | 1275770844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY VIEGAS Owner/Doctor 815-356-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-004459) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-08-03 |