| NPI | 1760362198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMELA ROSENTHAL CEO 815-386-6568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |