Provider Demographics
NPI:1447289293
Name:BEST FIT SURGICAL APPLIANCES, INC.
Entity type:Organization
Organization Name:BEST FIT SURGICAL APPLIANCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:708-634-3540
Mailing Address - Street 1:4550 W 103RD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4868
Mailing Address - Country:US
Mailing Address - Phone:708-634-3540
Mailing Address - Fax:773-701-6282
Practice Address - Street 1:4550 W 103RD ST STE 201
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-4868
Practice Address - Country:US
Practice Address - Phone:708-634-3540
Practice Address - Fax:773-701-6282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2424-4279335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1671413OtherBLUE CROSS BLUE SHIELD
IL0392590001Medicare NSC