Organization
GEMA
Active
Other names
Ballert Orthopedic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARIE LAZARDE (OFFICE MANAGER)
(773) 878-2445
Entity
Organization
Contact information
Practice address
2434 W PETERSON AVE, CHICAGO, IL 60659-4113
(773) 878-2445
(773) 508-6699
Mailing address
2434 W PETERSON AVE, CHICAGO, IL 60659-4113
(773) 878-2445
(773) 508-6699
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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