| 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 |