Organization
CROWN CRANIAL & ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN ROTH (CEO)
(630) 715-4164
Entity
Organization
Contact information
Practice address
1450 E JOLIET ST STE 206, CROWN POINT, IN 46307-4726
(219) 801-3937
Mailing address
1148 JEANNE CT, CROWN POINT, IN 46307-0027
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
03/04/2026
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