| NPI | 1407934888 |
|---|---|
| Doing Business As | ROBERT C DEZANEK DPM |
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES DEZANEK Corp President 773-283-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016003970) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-12-26 |