MD ORTHOTIC AND PROSTHETIC LAB
NPI 1649322512
Prosthetic/Orthotic Supplier in Joliet, IL

Q: What is MD Orthotic And Prosthetic Lab's NPI number?

The NPI number for MD Orthotic And Prosthetic Lab is 1649322512. It was assigned to this organization in the NPPES registry on January 18, 2007.

Q: What is MD Orthotic And Prosthetic Lab's specialty?

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

Active since January 18, 2007

227 N HAMMES AVE, JOLIET, IL 60435(708) 387-9700(708) 387-9704 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Md Orthotic And Prosthetic Lab NPPES

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

MD ORTHOTIC AND PROSTHETIC LAB (NPI 1649322512) is a healthcare organization registered as a prosthetic/orthotic supplier in Joliet, Illinois and active in the NPI registry since January 2007. The organization lists Donald Goertzen, President, as its authorized official.

NPPES Registry Identity

NPI1649322512

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameMD ORTHOTIC AND PROSTHETIC LAB

Location Address227 N HAMMES AVEJoliet, IL 60435

Mailing Address8400 Brookfield Ave, 1st FloorBrookfield, IL 60513-1707 · (708) 387-9700 · Fax (708) 387-9704

Phone(708) 387-9700

Fax(708) 387-9704

Organization SubpartNo

Authorized OfficialDonald GoertzenPresident · (309) 676-2276

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 30, 2018

✔ NPI 1649322512 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.

227 N HAMMES AVE, Joliet, IL 60435

Open in Google Maps ↗

Other Identifiers 1

Medicaid=========001IL

Other Providers at the Same Location NPPES 2

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

DR. KENNETH CORDELL CARTER DDS

Dentist

227 N HAMMES AVE
JOLIET, IL 60435

Will County (815) 653-8050

DR. CLARENCE JAMES RED III D.D.S., M.S.D.

Dentist

227 N HAMMES AVE
JOLIET, IL 60435

Will County (815) 744-2990

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 Lab's NPI number?

The NPI number for MD Orthotic And Prosthetic Lab is 1649322512. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is MD Orthotic And Prosthetic Lab located?

MD Orthotic And Prosthetic Lab is located at 227 N Hammes Ave, Joliet, IL 60435. The listed phone number is (708) 387-9700.

What is MD Orthotic And Prosthetic Lab'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 Lab was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.