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Diabetic Supply Center
Prosthetic/Orthotic Supplier in Berwyn, Illinois
NPI 1497007595

Diabetic Supply Center is a Prosthetic/Orthotic Supplier based in Berwyn, IL. Diabetic Supply Center practices in Berwyn, IL. The NPI Number for Diabetic Supply Center is 1497007595 and holds a License No. 212.000175 (Illinois).

The current practice location address for Diabetic Supply Center is 6506 Cermak Rd, Berwyn, IL and can be reached out via phone at 616-835-3304 and via fax at 312-962-5724.

Location: 6506 Cermak Rd, Berwyn, IL, 60402-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497007595
Provider Name
Diabetic Supply Center
Credential
Provider Entity Type
Organization
Address
6506 Cermak Rd, Berwyn, IL, 60402-2323
Phone Number
616-835-3304
Fax Number
312-962-5724
Provider Enumeration Date
10/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6506 Cermak Rd
City
Berwyn
State
Illinois
Zip
60402-2323
Phone Number
616-835-3304
Fax Number
312-962-5724
person
Provider Business Mailing Address Details
Address
6506 Cermak Rd
City
Berwyn
State
Illinois
Zip
60402-2323
Phone Number
616-835-3304
Fax Number
312-962-5724
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
212.000175 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
212.000175 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
212.000175 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
212.000175 (Illinois)
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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