| NPI | 1689671398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J ROMAN President 773-586-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |