| NPI | 1245691211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWN JONES President 312-933-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 013000813) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |