| NPI | 1710156369 |
|---|---|
| Doing Business As | CENTRAL PODIATRY |
| Entity Type | Organization |
| Authorized Contact | MARK A RYERSON Owner 847-255-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016003397) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003397) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: IL 016003397) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-06-24 |