MD ORTHOTIC AND PROSTHETIC LAB
NPI 1649322512
Prosthetic/Orthotic Supplier in Joliet, IL
- Organization
- Prosthetic/Orthotic Supplier
About MD ORTHOTIC AND PROSTHETIC LAB
This page provides the complete NPI Profile along with additional information for Md Orthotic And Prosthetic Lab, a provider established in Joliet, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1649322512 assigned on January 2007. The practitioner's primary taxonomy code is 335E00000X with license number 060008643213000063 (IL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Donald Goertzen (President)
- NPI
- 1649322512 Verify this NPI
- Provider Name
- MD ORTHOTIC AND PROSTHETIC LAB
- Entity Type
- Organization
- Location Address
- 227 N HAMMES AVE JOLIET, IL 60435
- Location Phone
- (708) 387-9700
- Location Fax
- (708) 387-9704
- Mailing Address
- 8400 BROOKFIELD AVE 1ST FLOOR BROOKFIELD, IL 60513
- Mailing Phone
- (708) 387-9700
- Mailing Fax
- (708) 387-9704
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2007
- Last Update Date
- 07-30-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- 060008643213000063
- License State
- IL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| =========001 | MEDICAID (05) | IL |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
JOLIET, IL 60435
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649322512, enumerated as an "organization" on January 18, 2007.
The provider is located at 227 N HAMMES AVE JOLIET, IL 60435 and the phone number is (708) 387-9700.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
