Organization
SMITHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHAN MICHAEL SMITH CPO (LICENSED ORTHOTIST PROSTHETIST)
(224) 653-8411
Entity
Organization
Contact information
Practice address
75 MARKET ST, STE 4, ELGIN, IL 60123-5093
(224) 653-8411
Mailing address
75 MARKET ST, SUITE 4, ELGIN, IL 60123-5093
(224) 653-8411
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
248000569
IL
Other
Enumeration date
03/15/2012
Last updated
08/02/2016
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