| 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 |