NPI: 1265534523 · CHICAGO, IL 60602 · Prosthetic/Orthotic Supplier · NPI assigned 09/05/2006
| Authorized Official | BLUM, HENRY (OFFICE MANAGER/TREASURER) |
| NPI Enumeration Date | 09/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $322.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2624 | Polishing/resurfacing of ocular prosthesis | 12 | 12 | $322.70 |