NPI | 1336352095 |
---|---|
Entity Type | Organization |
Authorized Contact | MURAD ABDELQADER President 708-250-3869 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005230) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016005230) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2022-07-21 |