NPI | 1417155508 |
---|---|
Entity Type | Organization |
Authorized Contact | LOWELL WEIL Executive Chairman 847-390-7666 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI WD000997) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI OM71140) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2023-06-22 |