NPI | 1356458863 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD I RATKOVICH President 312-498-2193 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005180) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2022-07-21 |