| NPI | 1689736985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MARIZAK Partner 773-283-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016003003) |
| 213E00000X Podiatrist (Licence: IL 0160033252) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-11-17 |