| NPI | 1447360896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | O. KENT MERCADO Director 630-922-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016004238) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-03-23 |