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MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
NPI 1376226910
Prosthetic/Orthotic Supplier in Naperville, IL

Active since August 10, 2023
387 SHUMAN BLVD STE 201E, NAPERVILLE, IL 60563(630) 283-1830(630) 320-2282 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2024, Aug 10, 2023 (2 updates tracked since 2023).

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 1376226910) is a healthcare organization registered as a prosthetic/orthotic supplier in Naperville, Illinois and active in the NPI registry since August 2023. The organization lists Kendra F Mickelson, Manager Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1376226910
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMD ORTHOTIC AND PROSTHETIC LABORATORY, INC
Location Address387 SHUMAN BLVD STE 201ENaperville, IL 60563-8306
Mailing Address741 W Main StPeoria, IL 61606-1953 · (309) 285-7752 · Fax (309) 285-7752
Phone(630) 283-1830
Fax(630) 320-2282
Organization SubpartNo
Authorized OfficialKendra F MickelsonManager Of Revenue Cycle Management · (309) 285-7752
Enumeration DateAugust 10, 2023
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1376226910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
387 SHUMAN BLVD STE 201E, Naperville, IL 60563
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MD ORTHOTIC AND PROSTHETIC LABORATORIES, INC
Prosthetic/Orthotic Supplier
387 SHUMAN BLVD STE 201E
NAPERVILLE, IL 60563
Dupage County (630) 283-1830

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 1376226910. It was assigned to this organization in the NPPES registry on August 10, 2023.

Where is MD Orthotic And Prosthetic Laboratory, Inc located?

MD Orthotic And Prosthetic Laboratory, Inc is located at 387 Shuman Blvd Ste 201E, Naperville, IL 60563. The listed phone number is (630) 283-1830.

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.

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 with the weekly NPPES data releases published by CMS.