| NPI | 1568157386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ZWECK Owner/Authorized Official 217-621-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-07 |