| NPI | 1457740219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HALINSKI President/CEO 847-419-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ER0200X Podiatrist, Radiology | |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2016-12-21 |