Organization
CHICAGO PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KEVIN O'HAGAN CP (OWNER)
(773) 404-0310
Entity
Organization
Contact information
Practice address
840 W IRVING PARK RD, SUITE 207, CHICAGO, IL 60613-3011
(773) 404-0310
(773) 404-0311
Mailing address
840 W IRVING PARK RD, SUITE 207, CHICAGO, IL 60613-3011
(773) 404-0310
(773) 404-0311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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