Organization
ACCELERATED PROSTHETICS & ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOURABH V NAGALE CPO (PRESIDENT)
(847) 296-7755
Entity
Organization
Contact information
Practice address
1480 RENAISSANCE DRIVE, SUITE 306, PARK RIDGE, IL 60068
(847) 296-7755
(847) 296-7722
Mailing address
1480 RENAISSANCE DRIVE, SUITE 306, PARK RIDGE, IL 60068
(847) 296-7755
(847) 296-7722
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
211000127
IL
335E00000X
Prosthetic/Orthotic Supplier
213000186
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633525
BCBS
IL
05
—
320071062001
—
IL
01
—
7693608
AETNA
IL
Enumeration date
06/13/2006
Last updated
05/31/2011
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