| NPI | 1447289293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE A STOCKER President 708-634-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 2424-4279) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2021-12-22 |