| NPI | 1760829667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M. KAZMER Owner 773-378-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004634) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-04-20 |