| NPI | 1578837514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA BOMBARD Billing Manager 630-897-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005423) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |