| NPI | 1992941124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RENEE TOLZIN Office Manager 815-899-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.004861) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |