| NPI | 1699974188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH C. M. MCNICHOLAS Billing COO Rdinator 847-965-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 11227254) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |