Organization
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUMESH SAXENA C.P. BOCO (PRESIDENT)
(219) 840-5595
Entity
Organization
Contact information
Practice address
17530 KEDZIE AVE, HAZEL CREST, IL 60429-2004
(708) 991-7910
(708) 234-7200
Mailing address
3803 E LINCOLN HWY, MERRILLVILLE, IN 46410-5809
(219) 791-9200
(219) 979-6775
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
05/30/2019
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