| NPI | 1932715539 | 
|---|---|
| Doing Business As | DANIEL J WALTERS DPM | 
| Entity Type | Organization | 
| Authorized Contact | DAVID ANTHONY CHARNOTA President 847-540-9949 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 213E00000X Podiatrist | 
| Enumeration Date | 2020-09-18 | 
| Last Update Date | 2020-09-18 |