Organization
O & P INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK FLANAGAN CO FAAOP (DIRECTOR OF CLINICAL SERVICES)
(847) 754-7434
Entity
Organization
Contact information
Practice address
330 FOREST DR, CRYSTAL LAKE, IL 60014-7351
(847) 754-7434
Mailing address
330 FOREST DR, CRYSTAL LAKE, IL 60014-7351
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
213-000023
IL
Other
Enumeration date
08/29/2009
Last updated
08/29/2009
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