| NPI | 1730261363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS L WARD President 309-691-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 060001998) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-03-25 |