| NPI | 1467676536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WEISS President 847-328-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003961) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-10-21 |