| 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 |