Organization
GEMA, INC
Active
Other names
Ballert Orthopedic of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS A. CARMONA (DIRECTOR ADMINISTRATION)
(773) 878-2445
Entity
Organization
Contact information
Practice address
139-141 FRONT ST., WOOD DALE, IL 60191
(630) 694-9305
(773) 508-6699
Mailing address
2434 W. PETERSON, CHICAGO, IL 60659
(773) 878-2445
(630) 694-9360
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
07/02/2013
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