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NPI Code Detail

MEDICARE: GEMA

MEDICARE: GEMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1083661797
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEMA
Provider Business Mailing Address
First Line : 2434 W PETERSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60659-4113
Country : US
Telephone Number : 773-878-2445
Fax Number : 773-508-6699
Provider Business Practice Location Address
First Line : 2434 W PETERSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60659-4113
Country : US
Telephone Number : 773-878-2445
Fax Number : 773-508-6699
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. ROSEMARIE LAZARDE
Credential :
Telephone Number : 773-878-2445
Provider Enumeration Date : 05/28/2006
Last Update Date : 08/22/2020

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Directions to “GEMA ” Practice Location

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