MARK KAISER

HICKORY HILLS, IL
NPI1275030082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: IL  211000255)
Additional Taxonomies222Z00000X 
(Licence: IL  213000268)
Enumeration Date2018-04-09
Last Update Date2018-04-09
Business Address
MARK KAISER CPO
8641 W 95TH ST
HICKORY HILLS, IL 60457-1730
Phone number: 708-599-8336
Mailing Address
MARK KAISER CPO
1S376 SUMMIT AVE COURT E
OAKBROOK TERRACE, IL 60181-3985
Phone number: 630-705-4092