| NPI | 1316060452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M. KAZMER Owner 847-277-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004634) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-09-13 |