| NPI | 1679074298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJODAMEN BLESSING SHOBOWALE President Owner 773-510-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2288) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2022-08-05 |