| NPI | 1184667933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOURABH V NAGALE President 847-296-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211000127) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 213000186) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-05-31 |