| NPI | 1679067219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P KIPFERL Physician 847-809-9742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016.005793) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |