| NPI | 1982082145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAMS Owner 708-638-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016005302) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |