An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1497929434 |
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| LBN Legal business name | SRT PROSTHETICS & ORTHOTICS LLC | ||||
| Authorized official | LESLIE SIEBENALER - (DIRECTOR OF OPERATIONS) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/22/2008 | ||||
| Last updated | 02/18/2019 - About 7 years ago | ||||
| Identifiers |
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| SRT PROSTHETICS & ORTHOTICS LLC 6475 WASHINGTON ST. GURNEE, IL |
| LINDA JENIG 230 THOMAS DRIVE 10000 DALE, IL |
| VICTORIA R GREENLEE, MOT 719 N MARION STREET 60302, IL |