COMPREHENSIVE PROSTHETICS & ORTHOTICS
NPI 1699159624
Prosthetic/Orthotic Supplier in Olympia Fields, IL

Active since July 20, 2015
20060 GOVERNORS DR STE 102, OLYMPIA FIELDS, IL 60461(219) 736-8896(219) 293-8613 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Comprehensive Prosthetics & Orthotics NPPES

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

COMPREHENSIVE PROSTHETICS & ORTHOTICS (NPI 1699159624) is a healthcare organization registered as a prosthetic/orthotic supplier in Olympia Fields, Illinois and active in the NPI registry since July 2015. The organization lists Donald Goertzen, President, as its authorized official.

NPPES Registry Identity

NPI1699159624
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMD ORTHOTIC AND PROSTHETIC LABORATORY, INC.
Location Address20060 GOVERNORS DR STE 102Olympia Fields, IL 60461
Mailing Address741 W Main StPeoria, IL 61606-1953 · (309) 676-2276 · Fax (888) 663-6322
Fax(219) 293-8613
Organization SubpartNo
Authorized OfficialDonald GoertzenPresident · (309) 676-2276
Enumeration DateJuly 20, 2015
Last NPPES UpdateJuly 30, 2018
✔ NPI 1699159624 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.
20060 GOVERNORS DR STE 102, Olympia Fields, IL 60461

Other Names 1

Other NameComprehensive Prosthetics & Orthotics

Other Identifiers 1

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

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 1699159624. It was assigned to this organization in the NPPES registry on July 20, 2015. The provider is also known as Comprehensive Prosthetics & Orthotics.

Where is MD Orthotic And Prosthetic Laboratory, Inc. located?

MD Orthotic And Prosthetic Laboratory, Inc. is located at 20060 Governors Dr Ste 102, Olympia Fields, IL 60461. The listed phone number is (219) 736-8896.

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 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.