| NPI | 1528276169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SKLAR Owner 309-762-9242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 060009027) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-01-16 |