OrganizationActive
Gema
NPI 1831400092 · Prosthetic/Orthotic Supplier · Lake Forest, IL
Provider details
- NPI number
- 1831400092
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Carlos Carmona, Director(773) 878-2445
Specialties & taxonomies
Suppliers
Practice location
1200 N Westmoreland Dr
Suite 100
Lake Forest, IL 60045-1601
Phone: (773) 878-2445
Fax: (773) 508-6699
Approximate (ZIP-level) locationGet directions
Mailing address
2434 W Peterson Ave
Chicago, IL 60659-4113
Other names (DBA / former)
- Doing business as
- Ballert Orthopedic
Registry dates
- Enumerated
- 2010-06-23
- Last updated
- 2011-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.