| NPI | 1477069607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GITELIS Authorized Official/Provider 847-807-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 036055465) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |