Organization
NORTHERN PROSTHETICS & ORTHOPEDIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERICH HERBERT SCHULZE CPO, C.PED (PRESIDENT)
(815) 226-0444
Entity
Organization
Contact information
Practice address
2629 CHARLES ST, ROCKFORD, IL 61108-1608
(815) 226-0444
(815) 226-1819
Mailing address
2629 CHARLES ST, ROCKFORD, IL 61108-1608
(815) 226-0444
(815) 226-1819
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010180001
BCBS OF IL HMO
IL
05
—
41783100
—
WI
Enumeration date
09/02/2005
Last updated
05/14/2020
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