| NPI | 1659454577 |
|---|---|
| Doing Business As | LAKE COUNTY FOOT & ANKLE LTD |
| Entity Type | Organization |
| Authorized Contact | JACK CHULENGARIAN Dpm 847-249-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-04-25 |