| NPI | 1841639069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E NICHOLS President/Owner 630-842-8891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: IL 016-004441) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-03-07 |