NPI | 1346752656 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE MARY-DANIELLE LEE Practice Administrator 224-227-6973 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005367) |
Enumeration Date | 2017-10-26 |
Last Update Date | 2017-10-26 |