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MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
NPI 1205988797
Prosthetic/Orthotic Supplier in Oak Lawn, IL

Active since January 17, 2007
4710 W 95TH ST STE B4, OAK LAWN, IL 60453(773) 779-5896(773) 779-8869 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, Jul 30, 2018 (2 updates tracked since 2018).

About Md Orthotic And Prosthetic Laboratory, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MD ORTHOTIC AND PROSTHETIC LABORATORY, INC (NPI 1205988797) is a healthcare organization registered as a prosthetic/orthotic supplier in Oak Lawn, Illinois and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Chicago and lists Amit Bhanit, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205988797
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMD ORTHOTIC AND PROSTHETIC LABORATORY, INC
Location Address4710 W 95TH ST STE B4Oak Lawn, IL 60453
Mailing Address741 W Main StPeoria, IL 61606-1953 · (800) 334-5705 · Fax (888) 663-6322
Phone(773) 779-5896
Fax(773) 779-8869
Organization SubpartNo
Authorized OfficialAmit BhanitCeo · (309) 676-2276
Enumeration DateJanuary 17, 2007
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1205988797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in IL · 060008643213000063
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.
4710 W 95TH ST STE B4, Oak Lawn, IL 60453
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Secondary Practice Location 1

Location 110408 S Western AveChicago, IL 60643-2508 · Phone (773) 779-5896 · Fax (773) 779-8869

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories MD Orthotic & Prosthetic Laboratory carries, from the Medicare DMEPOS supplier directory.

MD Orthotic & Prosthetic Laboratory

DMEPOS supplier · Oak Lawn, ILOperated by MD Orthotic And Prosthetic Laboratory, Inc.
✔

Accepts Medicare assignment

MD Orthotic & Prosthetic Laboratory agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20510303
Medicare Participant SinceDecember 24, 2013
Supplier Location4710 W 95th St Ste B4Oak Lawn, IL 60453
Phone(773) 779-5896
Provider TypeMedical Supply Company With Pedorthic Personnel
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is MD Orthotic And Prosthetic Laboratory, Inc's NPI number?

The NPI number for MD Orthotic And Prosthetic Laboratory, Inc is 1205988797. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is MD Orthotic And Prosthetic Laboratory, Inc located?

MD Orthotic And Prosthetic Laboratory, Inc is located at 4710 W 95th St Ste B4, Oak Lawn, IL 60453. The listed phone number is (773) 779-5896.

What is MD Orthotic And Prosthetic Laboratory, Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does MD Orthotic And Prosthetic Laboratory, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, MD Orthotic & Prosthetic Laboratory accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for MD Orthotic And Prosthetic Laboratory, Inc was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.