Organization
ORTHO PRO MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OREST POROCH (SECRETARY/VICEPRESIDENT)
(773) 818-5369
Entity
Organization
Contact information
Practice address
401 E PROSPECT AVE, SUITE 112, MT PROSPECT, IL 60056-3366
(773) 818-5369
Mailing address
401 E PROSPECT AVE, SUITE 112, MT PROSPECT, IL 60056-3366
(773) 818-5369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/14/2013
Last updated
10/29/2013
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