| Organization Name: | WOODFIELD ORTHO SERVICES L.L.C. |
| NPI Number: | 1902943327 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRETT KRAMER (ORTHOTIST PROSTHETIST) |
| Mailing Address: | 20 Executive Ct Suite 2 South Barrington |
| State: | IL US |
| Postal Code: | 600109543 |
| Phone Number: | 8473823222 |
| Fax Number: | 8473823223 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | CPO 1980 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |