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 |