| NPI | 1023590049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GITELIS Owner/Provider 847-807-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 035055465) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |