| NPI | 1760829287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIF MATOUK President 815-312-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-005096) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |