NPI 1275030082

Mark Kaiser, CPO

Practitioner Prosthetist Hickory Hills, IL

Practice location

Address: 8641 W 95th St, Hickory Hills, IL 60457-1730
Phone: (708) 599-8336
Fax: (708) 599-2792
Mailing address: 1s376 Summit Ave Court E, Oakbrook Terrace, IL 60181-3985

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211000255 (IL)

Other Prosthetist providers in Illinois →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000268 (IL)

Other Orthotist providers in Illinois →

Registry record

NPI: 1275030082
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2018
Record last updated: 9 Apr 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.