| NPI | 1831400092 |
|---|---|
| Doing Business As | BALLERT ORTHOPEDIC |
| Entity Type | Organization |
| Authorized Contact | CARLOS CARMONA Director 773-878-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2011-01-26 |