Gema
Prosthetic/Orthotic Supplier in Chicago, IL. Organization (NPI-2).
NPI number1083661797
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083661797
- Entity type
- Organization (NPI-2)
- Legal business name
- Gema
- Organization subpart
- No
- Enumeration date
- May 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- Ballert Orthopedic (Doing Business As)
Practice location
2434 W Peterson AveChicago, IL 60659-4113
Phone 773-878-2445 · Fax 773-508-6699
Mailing address
2434 W Peterson AveChicago, IL 60659-4113
Phone 773-878-2445 · Fax 773-508-6699
Authorized official
Rosemarie Lazarde
Office Manager
7738782445
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