| 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 |