Organization · Type 2 NPI

Footco Orthopedic

Customized Equipment (DME) · Chicago, IL

NPI number 1124286927 Active

Practice location

3723 N Southport Ave
Chicago, IL 60613-3718

Call (312) 409-2175 Map

Mailing address

PO Box 13377
Chicago, IL 60613-0377

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X212.000115 (IL)

Customized Equipment (DME): Definition to come...

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About NPI 1124286927

Footco Orthopedic's National Provider Identifier is 1124286927, issued on May 28, 2008. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Chicago, IL. The record was last updated on May 28, 2008.