Organization
DREHER ORTHOPEDIC INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER DREHER C.O. (OWNER PRESIDENT)
(708) 848-4646
Entity
Organization
Contact information
Practice address
214 CHICAGO AVE, OAK PARK, IL 60302-2310
(708) 848-4646
(708) 848-1341
Mailing address
214 CHICAGO AVE, OAK PARK, IL 60302-2310
(708) 848-4646
(708) 848-1341
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01670372
BCBS PROVIDER ID
IL
05
—
0570184
—
IA
05
—
200088770A
—
IN
01
—
56800
NORTHWOOD INS PROVIDER ID
—
01
—
64126
AMERIGROUP INS
—
05
—
81297200
—
WI
05
—
854565584
—
MI
Enumeration date
06/10/2005
Last updated
04/20/2008
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