Organization · Type 2 NPI

Diabetic Supply Center

Prosthetic/Orthotic Supplier · Berwyn, IL

NPI number 1497007595 Active

Practice location

6506 Cermak Rd
Berwyn, IL 60402-2323

Fax (312) 962-5724

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) 332BC3200X212.000175 (IL)
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X212.000175 (IL)
Oxygen Equipment & Supplies (DME) 332BX2000X212.000175 (IL)
Prosthetic/Orthotic Supplier Primary 335E00000X212.000175 (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 1497007595

Diabetic Supply Center's National Provider Identifier is 1497007595, issued on Oct 12, 2012. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Berwyn, IL. The record was last updated on Oct 12, 2012.