NPI | 1619422516 |
---|---|
Other Name | ORTHOILLINOIS |
Entity Type | Organization |
Authorized Contact | LESLIE ELMER Credentialing Coordinator 815-381-7431 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 060010826) |
Enumeration Date | 2016-08-20 |
Last Update Date | 2024-04-19 |