| NPI | 1427219500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C BENNETT President 312-266-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-004014) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-11-24 |