NPI 1346450129

Theodore Scott Landers, OTC

Practitioner Other Specialist/Technologist Elk Grove Village, IL

Practice location

Address: 901 Biesterfield Rd Suite 300, Elk Grove Village, IL 60007-3392
Phone: (847) 437-9889
Fax: (847) 301-2829
Mailing address: 157 Santa Fe Ln, Willow Springs, IL 60480-1624

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1346450129
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2007
Record last updated: 8 Jul 2007

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.