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

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: July 19, 2026.

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
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

Other Identifiers 2

Other01680020IL · Blue Cross Blue Shield
Medicaid=========001IL

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700936234, enumerated as an "organization" on January 10, 2007.

The provider is located at 3834 W IRVING PARK RD CHICAGO, IL 60618 and the phone number is (773) 539-7333.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.