| NPI | 1942257571 |
|---|---|
| Doing Business As | BALLERT ORTHOPEDIC OF CHICAGO |
| Entity Type | Organization |
| Authorized Contact | CARLOS A. CARMONA Director Of Administration 773-878-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-06-02 |