BARDACH-SCHOENE COMPANY INC.; NPI #1679568604

Contact Information

BARDACH-SCHOENE COMPANY INC.

7318 W NORTH AVE
ELMWOOD PARK, IL 60707-4234

Phone: 708-456-8780
Fax: 708-456-6411
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for BARDACH-SCHOENE COMPANY INC.

NPI # 1679568604

LBN Legal business name BARDACH-SCHOENE COMPANY INC.

Authorized official JESSE MEJORADA - (CERTIFIED & LICENSED PROSTHETIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/15/2005

Last updated 07/02/2008 - About 18 years ago

Identifiers

IL	License #	211000146
IL	Other	211000146	PROSTHETIC LICENSE/STATE OF ILLINOIS

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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