| NPI | 1780960831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A CAPLIS Owner 312-701-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: IL 016005304) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |