| 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 |