| NPI | 1114035003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A FRITTS Owner 708-425-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 31696864) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |