| NPI | 1366916355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BISHOP Podiatrist 630-553-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |