Midwest Illinois Orthotics LLC
NPI #1174968820 in Maryland Heights, Missouri
Provider Information
- NPI Number
- 1174968820
- Entity Type
- Organization
- Organization Name
- Midwest Illinois Orthotics LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- May 8, 2013
- Last Updated
- Aug 6, 2013
Practice Location
- Address
- 11425 DORSETT RD
- Address 2
- STE B
- City
- Maryland Heights
- State
- Missouri
- ZIP Code
- 63043-3445
- Phone
- (314) 739-4408
Authorized Official
- Name
- DR. DON HAVEY
- Title
- DIRECTOR
- Phone
- (314) 821-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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