| NPI | 1962783803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS DENNIS SANTANGELO Owner 815-933-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005389) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-11-29 |