NPI | 1790201077 |
---|---|
Entity Type | Organization |
Authorized Contact | RADIN AUR Podiatrist 847-406-9192 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E5265) |
Enumeration Date | 2017-08-17 |
Last Update Date | 2020-02-27 |