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Centercore Medical Llc
Prosthetic/Orthotic Supplier in Herrin, Illinois
NPI 1306161427

Centercore Medical Llc is a Prosthetic/Orthotic Supplier based in Carterville, IL. Centercore Medical Llc practices in Herrin, IL. The NPI Number for Centercore Medical Llc is 1306161427 and holds a License No. (Illinois).

The current practice location address for Centercore Medical Llc is 720 S Park Ave, Herrin, IL and can be reached out via phone at 618-713-6286 and via fax at 618-985-4636.

Location: 720 S Park Ave, Herrin, IL, 62918-1058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306161427
Provider Name
Centercore Medical Llc
Credential
Provider Entity Type
Organization
Address
720 S Park Ave, Herrin, IL, 62918-1058
Phone Number
618-713-6286
Fax Number
618-985-4636
Provider Enumeration Date
03/31/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 S Park Ave
City
Herrin
State
Illinois
Zip
62948-3816
Phone Number
618-713-6286
Fax Number
618-985-4636
person
Provider Business Mailing Address Details
Address
720 S Park Ave
City
Herrin
State
Illinois
Zip
62948-3816
Phone Number
618-713-6286
Fax Number
618-985-4636
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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