NPI 1083661797

Gema

Organisation Prosthetic/Orthotic Supplier Chicago, IL

Practice location

Address: 2434 W Peterson Ave, Chicago, IL 60659-4113
Phone: (773) 878-2445
Fax: (773) 508-6699

Authorised official

Name: Rosemarie Lazarde
Title: Office Manager
Phone: (773) 878-2445

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1083661797
Entity type: Organization
NPI issued: 28 May 2006
Record last updated: 22 Aug 2020

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.