NPI | 1699013698 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY M. KAZMER President 773-378-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004634) |
Enumeration Date | 2013-01-25 |
Last Update Date | 2021-12-14 |