Individual
MICHAEL SOCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213.000360
IL
224P00000X
Prosthetist
Primary
211.000327
IL
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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