| NPI | 1972776755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN LEVY President 312-266-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016-003227) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |