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) 791-9200
Entity
Organization
Contact information
Practice address
17224 HARLEM AVE, TINLEY PARK, IL 60477-3368
(708) 966-2850
(708) 234-7230
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
06/22/2015
Last updated
09/23/2020
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