Healthcare Provider Details

I. General information

NPI: 1407182520
Provider Name (Legal Business Name): SCHECK & SIRESS PROSTHETICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2009
Last Update Date: 08/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 W HARRISON ST SUITE 130
CHICAGO IL
60612
US

IV. Provider business mailing address

1S376 SUMMIT AVE COURT E
OAKBROOK TERRACE IL
60181-3985
US

V. Phone/Fax

Practice location:
  • Phone: 866-724-3251
  • Fax: 630-424-0467
Mailing address:
  • Phone: 630-424-0392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. TOMI N LANCASTER
Title or Position: DIRECTOR, BUSINESS OPERATIONS
Credential:
Phone: 630-705-4092