Individual
MARK KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
8641 W 95TH ST, HICKORY HILLS, IL 60457-1730
(708) 599-8336
(708) 599-2792
Mailing address
1S376 SUMMIT AVE, COURT E, OAKBROOK TERRACE, IL 60181-3985
(630) 705-4092
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213000268
IL
224P00000X
Prosthetist
Primary
211000255
IL
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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