| NPI | 1518393941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GREGORY WALTERS Podiatrist 217-607-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016005102) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2016-03-28 |