NPI | 1285817536 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK MONDUL Owner 630-232-1013 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003529) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2008-07-08 |