| NPI | 1932387370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD R JUBERT Owner/Podiatrist 773-776-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 016004432) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-08 |