NPI | 1396811824 |
---|---|
Former Legal Business Name | JEFFREY M MACKLER DPM |
Entity Type | Organization |
Authorized Contact | JEFFREY M MACKLER Owner 630-759-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016002706) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2014-09-30 |