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BARDACH-SCHOENE COMPANY INC. NPI 1679568604


NPI Information

NPI: 1679568604
Provider Name: BARDACH-SCHOENE COMPANY INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
7318 W NORTH AVE
ELMWOOD PARK, IL
ZIP 60707
Phone: (708) 456-8780
Get Directions

BARDACH-SCHOENE COMPANY INC. is a prosthetic orthotic supplier in Elmwood Park, IL. The provider is 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. BARDACH-SCHOENE COMPANY INC. NPI is 1679568604. The provider is registered as an organization entity type.

The provider's business location address is:

7318 W NORTH AVE
ELMWOOD PARK, IL
ZIP 60707-234
Phone: (708) 456-8780
Fax: (708) 456-6411

The provider's authorized official is Jesse A Mejorada .
The authorized official title is Certified & Licensed Prosthetist and has the following contact phone number (708) 456-8780.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 7/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic Supplier211000146ILLINOISNo
2335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1211000146OTHERILLINOISPROSTHETIC LICENSE/STATE OF ILLINOIS
2=========001MEDICAIDILLINOIS
30320340001MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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