NPI | 1356439533 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA DEAN CEO 847-475-7080 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211-000133) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 213-000149) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |