Organization
DUPAGE PROSTHETIC-ORTHOTIC SERVICE INC.
Active
Other names
DuPage Prosthetic-Orthotic Service Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD ROONEY C.P, LO, LCED (OWNER)
(630) 261-9317
Entity
Organization
Contact information
Practice address
1100 SHERMAN AVE, SUITE 108, NAPERVILLE, IL 60563-8608
(630) 261-9317
(630) 261-9319
Mailing address
121 E ROOSEVELT RD, SUITE B & C, LOMBARD, IL 60148-4561
(630) 261-9317
(630) 261-9319
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
213.000230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2271316
BC/BS
IL
Enumeration date
10/31/2011
Last updated
10/31/2011
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