| NPI | 1487860698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA A DAVIS Office Manager 630-226-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004455) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-01-24 |