| NPI | 1912276684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J LEE President 847-231-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2020-07-11 |