| NPI | 1699839035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DEVENS President 708-387-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 060.008643213.000063) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-05-30 |