KOEBERS PROSTHETIC & ORTHOTIC LAB INC.
NPI 1700936234
Prosthetic/Orthotic Supplier in Chicago, IL

Q: What is Koebers Prosthetic & Orthotic Lab Inc.'s specialty?

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

Active since January 10, 2007

3834 W IRVING PARK RD, CHICAGO, IL 60618(773) 539-7333(773) 539-5535 Get Directions Write a Review

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

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About Koebers Prosthetic & Orthotic Lab Inc. NPPES

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

KOEBERS PROSTHETIC & ORTHOTIC LAB INC. (NPI 1700936234) is a healthcare organization registered as a prosthetic/orthotic supplier in Chicago, Illinois and active in the NPI registry since January 2007. The organization lists Donald Goertzen, President, as its authorized official.

NPPES Registry Identity

NPI1700936234

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameKOEBERS PROSTHETIC & ORTHOTIC LAB INC.

Location Address3834 W IRVING PARK RDChicago, IL 60618

Mailing Address741 W Main StPeoria, IL 61606-1953 · (800) 334-5705 · Fax (888) 663-6322

Phone(773) 539-7333

Fax(773) 539-5535

Organization SubpartNo

Authorized OfficialDonald GoertzenPresident · (309) 676-2276

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 30, 2018

✔ NPI 1700936234 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.

3834 W IRVING PARK RD, Chicago, IL 60618

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Other Identifiers 2

Other01680020IL · Blue Cross Blue Shield

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 Koebers Prosthetic & Orthotic Lab Inc.'s NPI number?

The NPI number for Koebers Prosthetic & Orthotic Lab Inc. is 1700936234. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Koebers Prosthetic & Orthotic Lab Inc. located?

Koebers Prosthetic & Orthotic Lab Inc. is located at 3834 W Irving Park Rd, Chicago, IL 60618. The listed phone number is (773) 539-7333.

What is Koebers Prosthetic & Orthotic Lab 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 Koebers Prosthetic & Orthotic Lab 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.