; NPI #1184464174

Contact Information

HAKEEM GAYDEN

1800 RIDGE RD STE 204
HOMEWOOD, IL 60430-1723

Phone: 708-916-5093
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist
Orthotics/Prosthetics Fitter	225000000X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1184464174`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	05/28/2024
Last updated	05/28/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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