| NPI | 1841389830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY S ISENSTADT Director 773-772-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016002700) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |