| NPI | 1659510865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M MERCADO Dpm 708-484-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016004482) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |