NPI 1083116404

Jason Wening, CPO

Practitioner Prosthetist Chicago, IL

Practice location

Address: 2835 N Sheffield Ave STE 301, Chicago, IL 60657-5084
Phone: (773) 472-3663
Fax: (773) 472-3668
Mailing address: 1s376 Summit Ave Crt E, Oakbrook Terrace, IL 60181-3985

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211.000213 (IL)

Other Prosthetist providers in Illinois →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213.000280 (IL)

Other Orthotist providers in Illinois →

Registry record

NPI: 1083116404
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2018
Record last updated: 1 Mar 2018

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.