| NPI | 1558711903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK ROLENS Podiatrist 217-414-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016.005708) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |