Organization
SCHECK & SIRESS PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
71 WAUKEGAN RD STE 400, LAKE BLUFF, IL 60044-1634
(847) 444-0690
(847) 444-0399
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
016624327
IL
335E00000X
Prosthetic/Orthotic Supplier
Primary
08-119
IL
Other
Enumeration date
04/20/2006
Last updated
02/09/2021
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