NPI | 1790783736 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA M. MERCADO-CIESSAU Podiatrist/Owner 708-484-3599 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016004482) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2010-01-28 |