institution
Footco Orthopedic
Customized Equipment (DME) in Chicago, Illinois
NPI 1124286927

Footco Orthopedic is a Customized Equipment (DME) based in Chicago, IL and is specialized in Customized Equipment. Footco Orthopedic practices in Chicago, IL. The NPI Number for Footco Orthopedic is 1124286927 and holds a License No. 212.000115 (Illinois).

The current practice location address for Footco Orthopedic is 3723 N Southport Ave, Chicago, IL and can be reached out via phone at 312-409-2175. You can also correspond with Footco Orthopedic through the mailing address at PO BOX 13377, CHICAGO, IL - 60613-0377 (mailing address contact number: ).

Location: 3723 N Southport Ave, Chicago, IL, 60613-0377
institution
Provider Profile Details
NPI Number
1124286927
Provider Name
Footco Orthopedic
Credential
Provider Entity Type
Organization
Address
3723 N Southport Ave, Chicago, IL, 60613-0377
Phone Number
312-409-2175
Fax Number
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1670909 01 IL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
3723 N Southport Ave
City
State
Zip
60613-3718
Phone Number
312-409-2175
Fax Number
person
Provider Business Mailing Address Details
Address
3723 N Southport Ave
City
State
Zip
60613-3718
Phone Number
312-409-2175
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
212.000115 (Illinois)
Definition
Definition to come...
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