| NPI | 1699214668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSHTAQ MOHAMMED President 312-498-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005513) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |