NPI | 1538512199 |
---|---|
Entity Type | Organization |
Authorized Contact | KRITI M PUTHENPURAKAL Owner 630-202-4898 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005669) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2018-12-10 |