| NPI | 1447681127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY STEPHEN KRUSE Owner/CEO 312-280-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2023-05-01 |