| NPI | 1952615114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRSHAD AHMED SIDDIQUE President 847-931-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016004398) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-08-20 |