| NPI | 1336524875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN TRUNCALE Podiatric Physician / Manager 847-406-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016.005591) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |