| NPI | 1538596416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL MAHONEY Physician/Owner 309-689-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005175) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2016-03-31 |