NPI | 1689652570 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE M KOSOVA Owner 630-355-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2006-01-03 |
Last Update Date | 2025-01-14 |