| NPI | 1346407301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL POTACH President 708-484-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016004088) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2009-09-04 |