| NPI | 1467640177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE J MINNICK Podiatrist/Owner 773-549-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016003251) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-02-01 |