| NPI | 1427245141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE MCCAIN COVELLO Practice Owner 312-701-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016004997) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2012-04-13 |