| NPI | 1841657954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA A REID Owner/Partner 309-762-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-06-01 |