NPI | 1477675429 |
---|---|
Entity Type | Organization |
Authorized Contact | MILTON N KONDILES Owner 773-545-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003993) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2021-05-04 |