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Waxberg Orthopedic Shoes Inc
Prosthetic/Orthotic Supplier in Niles, Illinois
NPI 1023020997

Waxberg Orthopedic Shoes Inc is a Prosthetic/Orthotic Supplier based in Niles, IL. Waxberg Orthopedic Shoes Inc practices in Niles, IL. The NPI Number for Waxberg Orthopedic Shoes Inc is 1023020997 and holds a License No. (Illinois).

The current practice location address for Waxberg Orthopedic Shoes Inc is 7013 W Dempster St, Niles, IL and can be reached out via phone at 847-965-3338 and via fax at 847-965-3337.

Location: 7013 W Dempster St, Niles, IL, 60714-2130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023020997
Provider Name
Waxberg Orthopedic Shoes Inc
Credential
Provider Entity Type
Organization
Address
7013 W Dempster St, Niles, IL, 60714-2130
Phone Number
847-965-3338
Fax Number
847-965-3337
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000297127 01 OH BCBS ANTHEM OF OHIO
0001670958 01 IL BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
7013 W Dempster St
City
Niles
State
Illinois
Zip
60714-2130
Phone Number
847-965-3338
Fax Number
847-965-3337
person
Provider Business Mailing Address Details
Address
7013 W Dempster St
City
Niles
State
Illinois
Zip
60714-2130
Phone Number
847-965-3338
Fax Number
847-965-3337
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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