| NPI | 1659577575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM ANN EERNISSE Owner 312-337-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: IL 016004918) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |