| NPI | 1821240706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIKA K GOMEZ Owner 773-528-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-005228) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |