| NPI | 1528257441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM O'BRIAN Owner 630-529-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 060006511) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-11-01 |