Organization
APPLIED PEDORTHIC SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESTERON STEPHENS III (PRESIDENT)
(847) 841-1715
Entity
Organization
Contact information
Practice address
2001 LARKIN AVE, SUITE 007, ELGIN, IL 60123-5808
(847) 841-1715
(847) 841-1716
Mailing address
2001 LARKIN AVE, SUITE 007, ELGIN, IL 60123-5808
(847) 841-1715
(847) 841-1716
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5016290001
DMERC
IL
Enumeration date
02/14/2007
Last updated
08/22/2020
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