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Organization

SRT PROSTHETICS & ORTHOTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE SIEBENALER (DIRECTOR OF OPERATIONS)
(866) 633-3961
Entity
Organization

Contact information

Practice address
6475 WASHINGTON ST., SUITE 100, GURNEE, IL 60031
(847) 855-0030
(419) 633-3961
Mailing address
408 E WASHINGTON ST, BUTLER, IN 46721-1179
(419) 633-3961
(419) 633-3981

Taxonomy

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

Other

Enumeration date
08/28/2006
Last updated
02/18/2019
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