| NPI | 1538332184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER YANOVSKIY Owner 847-298-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016005284) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |