| NPI | 1780801548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA J KAPNICK Office Manager 773-271-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016002871) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-07-27 |