NPI | 1588813133 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DANIEL RUFF President 309-637-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016003701) |
Enumeration Date | 2008-09-18 |
Last Update Date | 2009-07-24 |