NPI | 1598058547 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN MICHAEL SIGLE President 217-787-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016005201) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2020-03-10 |