| NPI | 1679957914 |
|---|---|
| Doing Business As | PM PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | LUIS E MENDOZA President 708-780-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2019-01-05 |