Individual provider · Type 1 NPI

Kenneth Boggs, CO

Orthotist · Chicago, IL

NPI number 1780915595 Active

Practice location

345 E Superior St, Suite 1764
Chicago, IL 60611-2654

Call (132) 238-2810 Map

Fax (312) 238-1932

Mailing address

2712 W Farwell Ave
Chicago, IL 60645-4515

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X213000065 (IL)

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1780915595

Kenneth Boggs, CO's National Provider Identifier is 1780915595, issued on Jan 18, 2010. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 18, 2010.