NPI | 1972558492 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN MCKENZIE President 630-416-1035 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 363287214) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2008-02-05 |