| NPI | 1902361769 |
|---|---|
| Doing Business As | PODIATRY PROVIDERS LLC |
| Entity Type | Organization |
| Authorized Contact | JEREMY SCHWARTZ Doctor/Owner 847-370-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |