| NPI | 1821481755 |
|---|---|
| Doing Business As | JOSEPH T FANARA DPM |
| Entity Type | Organization |
| Authorized Contact | JOSEPH T FANARA Owner Physician 815-332-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004607) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |