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
ROSE KELLER (MANAGER/OWNER)
(773) 929-4700
Entity
Organization
Contact information
Practice address
1611 W HARRISON ST, STE 109, CHICAGO, IL 60612-4861
(312) 226-6722
Mailing address
2451 N LINCOLN AVE, CHICAGO, IL 60614-1509
(773) 929-4700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
08/21/2019
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