NPI | 1578585444 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP F MORREALE Podiatrist 708-371-2310 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: IL 162840) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2009-03-25 |