| NPI | 1568773133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHA S PATEL Physician 312-953-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E46570) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |