| NPI | 1942734280 |
|---|---|
| Doing Business As | HEALTHDRIVE PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL BANKS BAKER CEO 847-721-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2020-01-02 |