NPI 1215423843

Sourabh Nagale, CPO

Practitioner Orthotist Chicago, IL

Practice location

Address: 2515 N Clark St STE 802, Chicago, IL 60614
Phone: (312) 227-6210
Fax: (312) 227-9429

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000186 (IL)

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Registry record

NPI: 1215423843
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2018
Record last updated: 6 Jul 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.