| NPI | 1972857696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GATLIN Owner 773-675-2452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-005463) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-20 |