| NPI | 1306416086 |
|---|---|
| Doing Business As | SOFT STEP DIABETIC SHOE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | NEIL FRIED President 815-341-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |