Organization
AMERICAN LIMB AND ORTHOTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA K. THORPE CO (PRESIDENT)
(773) 685-4998
Entity
Organization
Contact information
Practice address
5800 W HIGGINS AVE, CHICAGO, IL 60630-2023
(773) 685-4998
(773) 685-5155
Mailing address
5800 W HIGGINS AVE, CHICAGO, IL 60630-2023
(773) 685-4998
(773) 685-5155
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632158
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
04/04/2007
Last updated
08/22/2020
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