| NPI | 1558665869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PACOCHA President/Owner 847-398-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005329) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2025-05-16 |