| NPI | 1942406095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M BLAIR President Owner 847-364-1563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-002777) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |