| NPI | 1669650479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL AUSTIN Podiatrist, Sole Proprietor 708-535-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016-004325) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2009-09-14 |