| NPI | 1427334853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE MATHEW GEORGE President 224-381-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 061-005297) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |