NPI | 1639455470 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER C. TSANG President 630-845-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016004771) |
Enumeration Date | 2011-10-25 |
Last Update Date | 2015-01-14 |