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 |