NPI | 1851702302 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK MCENEANEY President 847-639-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016005350) |
Enumeration Date | 2014-05-17 |
Last Update Date | 2024-10-29 |