Organization
DIABETIC FOOTWEAR SOLUTUIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRETT JOY VAN DIGGELEN CERTIFIED PEDORTHIST (MEMBER)
(815) 444-7239
Entity
Organization
Contact information
Practice address
1 CRYSTAL LAKE PLZ, SUITE AW, CRYSTAL LAKE, IL 60014-7966
(815) 444-7239
Mailing address
1424 E JONQUIL CIR, ARLINGTON HEIGHTS, IL 60004-3558
(847) 255-5306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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