NPI 1063062370

Michael Socie, CPO

Practitioner Prosthetist Chicago, IL

Practice location

Address: 355 E Erie St, Chicago, IL 60611-3167
Phone: (312) 238-1000

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211.000327 (IL)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213.000360 (IL)

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Registry record

NPI: 1063062370
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2019
Record last updated: 18 Sep 2019

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.