NPI | 1437237534 |
---|---|
Entity Type | Organization |
Authorized Contact | ORLANDO A MERCADO Director 708-383-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016002453) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |