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Organization
STELLAR ORTHOTICS AND PROSTHETICS, LLC
Active
Organization
STELLAR ORTHOTICS AND PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SY ROSEN C.O. (GENERAL MANAGER)
(847) 410-2751
Entity
Organization
Contact information
Practice address
2401 RAVINE WAY STE 301, GLENVIEW, IL 60025-7645
(847) 410-2751
(847) 410-2758
Mailing address
2401 RAVINE WAY STE 301, GLENVIEW, IL 60025-7645
(847) 410-2751
(847) 410-2758
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
213000062
IL
Other
Enumeration date
04/11/2007
Last updated
01/28/2020
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