NPI 1023020997

Waxberg Orthopedic Shoes INC

Organisation Prosthetic/Orthotic Supplier Niles, IL

Practice location

Address: 7013 W Dempster St, Niles, IL 60714-2130
Phone: (847) 965-3338
Fax: (847) 965-3337

Authorised official

Name: Ronald Waxberg
Title: Owner
Phone: (847) 965-3338

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1023020997
Entity type: Organization
NPI issued: 12 Aug 2006
Record last updated: 14 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.