| NPI | 1538203377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M REICHERT Owner President 618-277-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-003257) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2013-01-09 |