| NPI | 1992119739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TSATSOS Director 312-612-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |