| NPI | 1750498366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GAVIN President 630-986-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 213000021) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-04-20 |