Individual provider · Type 1 NPI
Marlene David, CRANIAL PROSTHESES
Prosthetic/Orthotic Supplier · Chicago, IL
Practice location
2618 N Halsted St
Chicago, IL 60614-2302
Fax (312) 523-8270
Mailing address
1400 S Michigan Ave Apt 1607
Chicago, IL 60605-3723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 4XJPICXOHO (IL) |
Prosthetic/Orthotic Supplier: 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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About NPI 1376346700
Marlene David, CRANIAL PROSTHESES's National Provider Identifier is 1376346700, issued on Mar 31, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Chicago, IL. The record was last updated on Mar 31, 2025.