Organization
GEMA, INC
Active
Other names
Ballert Orthopedic of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS A. CARMONA (DIRECTOR, ADMIN)
(773) 878-2445
Entity
Organization
Contact information
Practice address
1525 E 53RD ST STE 716, CHICAGO, IL 60615-4530
(773) 493-2445
(773) 769-8237
Mailing address
2434 W PETERSON AVE, CHICAGO, IL 60659-4113
(773) 878-2445
(773) 469-8237
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
11/19/2018
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