Organization
ESSENTIAL PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEVENS CO (PRESIDENT)
(708) 387-9700
Entity
Organization
Contact information
Practice address
8400 BROOKFIELD AVE, 1ST FLOOR, BROOKFIELD, IL 60513-1707
(708) 387-9700
(708) 387-9704
Mailing address
8400 BROOKFIELD AVE, 1ST FLOOR, BROOKFIELD, IL 60513-1707
(708) 387-9700
(708) 387-9704
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
060.008643213.000063
IL
Other
Enumeration date
12/20/2006
Last updated
05/30/2008
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