NPI | 1326534843 |
---|---|
Other Name | ORTHOILLINOIS |
Entity Type | Organization |
Authorized Contact | LESLIE ELMER Manager, Credentialing And Risk Man 815-381-7431 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-07-09 |
Last Update Date | 2024-04-19 |