| NPI | 1386812121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F. BUSHNELL Owner 630-530-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 016003831) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2013-03-08 |