MICHAEL PULLA

CHICAGO, IL
NPI1568877819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IL  016.005658)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  135000848)
Enumeration Date2014-06-25
Last Update Date2017-12-01
Business Address
Dr. MICHAEL PULLA DPM
1234 WELLS
CHICAGO, IL 60612
Phone number: 123-456-7890
Mailing Address
Dr. MICHAEL PULLA DPM
1539 FARMSIDE LN
BOLINGBROOK, IL 60490-4960
Phone number: