Organization
SUBURBAN ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN J CALDWELL (PRESIDENT)
(847) 298-7107
Entity
Organization
Contact information
Practice address
450 LEE ST, DES PLAINES, IL 60016-4615
(847) 298-7107
(847) 298-6072
Mailing address
450 LEE ST, DES PLAINES, IL 60016-4615
(847) 298-7107
(847) 298-6072
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
IL
Other
Enumeration date
01/17/2006
Last updated
08/22/2020
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