| NPI | 1679760821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATIYEH A SALEM Owner 773-276-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016003399) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-29 |