Organization
REICHERT PROSTHETICS & ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE M DUPONT (OFFICE MANAGER)
(262) 654-4300
Entity
Organization
Contact information
Practice address
708 FLORSHEIM DR, SUITE 13, LIBERTYVILLE, IL 60048-5001
(847) 549-3464
(847) 549-3393
Mailing address
5027 GREEN BAY RD, SUITE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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