NPI | 1386030625 |
---|---|
Doing Business As | LAKE COUNTY FOOT & ANKLE |
Entity Type | Organization |
Authorized Contact | JOEL R ANDERSON President 847-358-7005 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016004882) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2015-07-28 |