| NPI | 1790351757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SULLIVAN Doctor Of Podiatric Medicine 630-205-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |