| 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 |