| NPI | 1366003451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PARISE Owner Of Group 773-208-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center Podiatric |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-11-20 |