| NPI | 1245571660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN NOVAK Owner/Orthotist 708-651-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 04254422) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |