| NPI | 1285036079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D WILLIAMS Owner 708-638-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 16005302) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2015-06-04 |