| NPI | 1740734896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATIYEH SALEM Owner 708-845-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003399) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2022-11-03 |