| NPI | 1467506865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER IRENE KIRCHENS President 773-991-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-005092) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-05-01 |