| NPI | 1720037138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY C WAI CFO/AO 773-627-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-11-02 |