| NPI | 1831497668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJIN KIM President 847-231-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005437) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0131X | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ER0200X Podiatrist, Radiology | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005438) | |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2020-07-11 |