Organization
NATURAL BALANCE ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERGMANN CPED (PRESIDENT)
(847) 729-7923
Entity
Organization
Contact information
Practice address
1864 JOHNS DR, GLENVIEW, IL 60025-1657
(847) 729-7923
Mailing address
1864 JOHNS DR, GLENVIEW, IL 60025-1657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016.002683
IL
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/06/2017
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