Md Orthotic & Prosthetic Laboratory, Inc.
Prosthetic/Orthotic Supplier

Address: 1514 E 87th St Lowr Level, Chicago, IL 60619
Phone: 7737795896

Md Orthotic & Prosthetic Laboratory, Inc. (NPI# 1932652567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1932652567
Entity Type Organization
Organization Name MD ORTHOTIC & PROSTHETIC LABORATORY, INC.
Practice Address 1514 E 87th St Lowr Level
Chicago
IL 60619
Practice Telephone 7737795896
Practice Fax Number 7737798869
Mailing Address 741 W Main St
Peoria
IL 61606-1953
Mailing Telephone 8003345705
Mailing Fax Number 8886636322
Authorized Official Name Donald Goertzen (PRESIDENT)
Authorized Official Telephone 3096762276
Authorized Official Credential CPO
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2016-08-01
Last Update Date 2018-07-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 335E00000X Prosthetic/Orthotic Supplier Suppliers 211000147 IL

Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

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1952909517 Matayah Love Prosthetic/Orthotic Supplier 5833 W Madison St, Chicago, IL 60644-3840 2020-10-15
1710508239 Vivian Danielle Williams Prosthetic/Orthotic Supplier 940 N Monticello Ave # 1, Chicago, IL 60651-3949 2020-05-06
1265053136 Dfined Beauty LLC Prosthetic/Orthotic Supplier 1507 E 53rd St # 835, Chicago, IL 60615-4573 2020-05-02
1417515784 Dionne Williams Group Prosthetic/Orthotic Supplier 6822 S Wood St, Chicago, IL 60636-3337 2019-06-03
1801358734 Dionne Williams Prosthetic/Orthotic Supplier 1130 N Dearborn St Apt 2511, Chicago, IL 60610-2752 2019-04-01
1083174064 Scheck & Siress Prosthetics, Inc Prosthetic/Orthotic Supplier 233 E Erie St Ste 200, Chicago, IL 60611-5938 2019-03-25
1124563218 Ace Prosthetics & Orthotics LLC Prosthetic/Orthotic Supplier 4315 N Lincoln Ave, Chicago, IL 60618-1711 2016-12-27
1174072276 Eyepothecary Prosthetic/Orthotic Supplier 1726 W Chicago Ave, Chicago, IL 60622-5000 2016-09-30
1245691211 L A Jones Hair Restoration Center Prosthetic/Orthotic Supplier 1657 S. Troy, Chicago, IL 60623 2016-03-17
1871951038 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 4315 N. Lincoln Avenue, Chicago, IL 60618 2016-02-03
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Office Location

Street Address 1514 E 87TH ST LOWR LEVEL
City CHICAGO
State IL
Zip Code 60619

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457985061 Tonia Dorsey Durable Medical Equipment & Medical Supplies 951 E 80th Street, Apt 1, Chicago, IL 60619 2020-02-24
1821635509 Lisa Strader Technician 8605 S. Dorchester, Chicago, IL 60619 2019-12-02
1821647579 Deborah Joves Technician 8258 S. Woodlawn Ave, Chicago, IL 60619 2019-09-05
1194372458 Cognitive Focus Centers, Inc. Clinic/Center 901 E 95th St, Chicago, IL 60619 2019-08-21
1588136360 Zantraquilla Z Madkins Transportation Broker 7829 South Wabash, Chicago, IL 60619 2018-12-18
1619447497 Bria Stanciel Case Manager/Care Coordinator 8419 S Cottage Grove, Chicago, IL 60619 2018-12-05
1184153520 Jordane Kelley Nurse's Aide 7339 S Wabash Ave, Chicago, IL 60619 2017-06-08
1205362977 Kristen Suing Psychologist 1111 E 87th St Ste 300, Chicago, IL 60619 2017-05-02
1720525280 Senior Healthcare Services Inc Physical Therapist 9133 South Stoney Island, Chicago, IL 60619 2017-01-23
1649610593 Zb Optical Inc. Technician/Technologist 7847 S Maryland Ave, Suite 100b, Chicago, IL 60619 2013-06-25
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Competitor

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City CHICAGO
Zip Code 60619

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.