NPI 1073759338

Kingsbury Randolph LLC

Organisation Prosthetic/Orthotic Supplier Orland Park, IL

Practice location

Address: 15864 S La Grange Rd Suite D1c, Orland Park, IL 60462-5366
Phone: (708) 364-7463
Fax: (708) 364-1733

Authorised official

Name: John Paul Cain
Title: Managing Partner
Phone: (708) 364-7463

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1073759338
Entity type: Organization
NPI issued: 16 Dec 2008
Record last updated: 16 Dec 2008

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.