| NPI | 1740365360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CHIN President & CEO 312-977-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005074) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-06-25 |