| 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 |