| NPI | 1295062594 |
|---|---|
| Doing Business As | COMPREHENSIVE PROSTHETICS & ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | DONALD GOERTZEN President 309-676-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211-000147) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: IL 213-000118) |
| 222Z00000X Orthotist (Licence: IL 213-000118) | |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2019-01-14 |