| NPI | 1528250867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA E YOUNG Physician 773-871-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003073) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2010-09-17 |