NPI | 1376652305 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN H CIESLAK President 815-754-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 213000156) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211000101) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |