| NPI | 1861705303 |
|---|---|
| Doing Business As | ST JAMES PODIATRY |
| Entity Type | Organization |
| Authorized Contact | DEANNA MARIE BASS Account Respresentative 708-755-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016004111) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-12-02 |