NPI | 1942438759 |
---|---|
Entity Type | Organization |
Authorized Contact | MARI BENITEZ Doctor 847-207-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005165) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2015-06-12 |