| NPI | 1720193972 |
|---|---|
| Doing Business As | FOOT ADVANTAGE |
| Entity Type | Organization |
| Authorized Contact | BRIAN GORSKI Owner 630-699-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000571) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 212.000136) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |