Individual
GABRIELLE ALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11225 W 159TH ST, ORLAND PARK, IL 60467-4416
(773) 954-2429
Mailing address
11225 W 159TH ST, ORLAND PARK, IL 60467-4416
(773) 954-2429
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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