| NPI | 1962202762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSALYN MILES Cranial Prosthetic Specialist 773-329-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-20 |