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Organization

PR ORTHOTICS & OT, LLC

Active
Other names
Chicago Pediatric Orthotics
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA LOUISE ROGEL (OWNER)
(224) 470-8550
Entity
Organization

Contact information

Practice address
4711 GOLF ROAD, SUITE 525, SKOKIE, IL 60076
(224) 470-8550
(224) 470-8553
Mailing address
4711 GOLF RD STE 525, SKOKIE, IL 60076-1217
(224) 470-8550
(224) 470-8553

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841338860
IL
Enumeration date
06/28/2017
Last updated
04/28/2026
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