Organization
KELLER ORTHOTICS INC
Active
Parent organization
KELLER ORTHOTICS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELLER ORTHOTICS INC
Authorized official
MS. ROSE KELLER (MANAGER)
(773) 929-4700
Entity
Organization
Contact information
Practice address
524 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3306
(847) 394-1182
(847) 394-1428
Mailing address
2451 N LINCOLN AVE, CHICAGO, IL 60614-1509
(773) 929-4700
(773) 929-4725
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/14/2011
Last updated
10/14/2022
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