| NPI | 1598895872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE DAVIS Podiatrist 773-327-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016004549) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |