| NPI | 1497890313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD BLANEY President 630-963-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003949) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |