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MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
NPI 1881746758
Prosthetic/Orthotic Supplier in Chicago, IL

Active since January 18, 2007
4801 W PETERSON AVE, STE 402, CHICAGO, IL 60646(773) 545-6047(888) 635-3135 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2020, Jul 30, 2018 (2 updates tracked since 2018).

About Md Orthotic And Prosthetic Laboratory, Inc NPPES

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

MD ORTHOTIC AND PROSTHETIC LABORATORY, INC (NPI 1881746758) 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

NPI1881746758
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMD ORTHOTIC AND PROSTHETIC LABORATORY, INC
Location Address4801 W PETERSON AVE, STE 402Chicago, IL 60646
Mailing Address741 W Main StPeoria, IL 61606-1953 · (800) 334-5705 · Fax (888) 663-6322
Phone(773) 545-6047
Fax(888) 635-3135
Organization SubpartNo
Authorized OfficialDonald GoertzenPresident · (309) 676-2276
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1881746758 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.
4801 W PETERSON AVE, Chicago, IL 60646
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

AURELIA Z. PEERA M.D.
Specialist
4801 W PETERSON AVE, STE 506
CHICAGO, IL 60646
Cook County (773) 777-5437
ANDREA STALEY PT
Physical Therapist
4801 W PETERSON AVE, SUITE 314
CHICAGO, IL 60646
Cook County (773) 777-4947
JAMES J SABAL PT
Physical Therapist
4801 W PETERSON AVE, SUITE 402
CHICAGO, IL 60646
Cook County (773) 736-9400
DAVID J. GREENBERG, PHD, LTD
Psychologist (Clinical)
4801 W PETERSON AVE, 403
CHICAGO, IL 60646
Cook County (847) 432-6465
RICHARD MARTIN HAYES M.D.
Internal Medicine
4801 W PETERSON AVE, #600
CHICAGO, IL 60646
Cook County (773) 777-0078
DR. MICHAEL P GIBBONS DDS
Dentist
4801 W PETERSON AVE, SUITE 550
CHICAGO, IL 60646
Cook County (773) 736-0836
PARTNERS IN PERINATAL AND PEDIATRIC CONSULTING
Psychologist (Clinical)
4801 W PETERSON AVE, SUITE 612
CHICAGO, IL 60646
Cook County (773) 338-2980
DR. DANIEL KAPLAN
Clinic/Center (Dental)
4801 W PETERSON AVE, SUITE 312
CHICAGO, IL 60646
Cook County (773) 777-0600

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 1881746758. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is MD Orthotic And Prosthetic Laboratory, Inc located?

MD Orthotic And Prosthetic Laboratory, Inc is located at 4801 W Peterson Ave Ste 402, Chicago, IL 60646. The listed phone number is (773) 545-6047.

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 August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.