| NPI | 1700292711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIN MASHOUF Admin 773-284-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005501) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |