NPI | 1902194673 |
---|---|
Entity Type | Organization |
Authorized Contact | LUAN SEIKO President 773-326-5504 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 060010605) |
Enumeration Date | 2011-07-15 |
Last Update Date | 2013-12-31 |