| NPI | 1891040424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNI MOSHI CEO 773-376-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004154) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |