Organization
DREHER ORTHOTICS & PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER DREHER C.O. (OWNER PRESIDENT)
(708) 448-6909
Entity
Organization
Contact information
Practice address
7350 W 119TH ST, STE 205, PALOS HEIGHTS, IL 60463-1189
(708) 448-6909
(708) 448-1581
Mailing address
7350 W 119TH ST, STE 205, PALOS HEIGHTS, IL 60463-1189
(708) 448-6909
(708) 448-1581
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01670158
BCBS PROVIDER ID
IL
01
—
81997
NORTHWOOD INS PROVIDER ID
—
Enumeration date
06/10/2005
Last updated
09/13/2012
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