| NPI | 1891805222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO A MERCADO Director 708-383-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016002453) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-09-13 |