Organization · Type 2 NPI
Midwest Illinois Orthotics LLC
Customized Equipment (DME) · Maryland Heights, MO
NPI number
1174968820
Active
Practice location
11425 Dorsett Rd, Ste B
Maryland Heights, MO 63043-3445
Fax (888) 770-2935
Mailing address
12166 Old Big Bend Rd, Ste 303
Kirkwood, MO 63122-6844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
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About NPI 1174968820
Midwest Illinois Orthotics LLC's National Provider Identifier is 1174968820, issued on May 8, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Maryland Heights, MO. The record was last updated on Aug 6, 2013.