| NPI | 1720332455 |
|---|---|
| Doing Business As | ADVANCED FOOT & ANKLE CENTERS OF ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | DANA M. WISBY Medical Director 847-985-8380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |