NPI | 1851405716 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE LEANN HECK Physician 815-788-8680 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016033688) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016004712) |
213E00000X Podiatrist (Licence: IL 016004823) | |
213E00000X Podiatrist (Licence: IL 016005064) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2020-08-22 |