| NPI | 1609063155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS FREDERICK SMITH President 312-642-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004833) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2011-04-27 |