NPI | 1831268887 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNETTE MAHONEY Owner 847-255-4480 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 16004956) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-08-22 |