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Organization

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC

Active
Parent organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC
Authorized official
MR. WILLIAM C CRAGGS CPO, LPO (MANAGER, ORTHOTICS AND PROSTHETICS)
(773) 466-6922
Entity
Organization

Contact information

Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 385-5848
Mailing address
PO BOX 947109, ATLANTA, GA 30394-7109
(813) 367-2876
(813) 518-7659

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
07/22/2016
Last updated
04/23/2025
About Stedi
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Product
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  • Eligibility checks
  • EDI platform