Whalio Doctors

NPI 1396371225

Breanna Angela Baltrusch, CPOLPO

Practitioner Orthotist Chicago, IL

Practice location

Address
2515 N Clark St STE 802, Chicago, IL 60614-2730
Phone
(312) 227-6210
Mailing address
225 E Chicago Ave # 46, Chicago, IL 60611-2991

Registered specialties (2)

Orthotist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213.000402 (IL)
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211.000354 (IL)

Registry record

NPI
1396371225
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Mar 2020
Record last updated
23 Mar 2020

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.