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

NPI Status: Active since January 18, 2007

Contact Information

4801 W PETERSON AVE
STE 402
CHICAGO, IL
ZIP 60646
Phone: (773) 545-6047
Fax: (888) 635-3135

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  • Organization
  • Prosthetic/Orthotic Supplier

About MD ORTHOTIC AND PROSTHETIC LABORATORY, INC

This page provides the complete NPI Profile along with additional information for Md Orthotic And Prosthetic Laboratory, Inc, a provider established in Chicago, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1881746758 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 6 years ago. The authorized official of this NPI record is Mr. Donald Goertzen Cpo (President)

NPI
1881746758
Provider Name
MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
Entity Type
Organization
Location Address
4801 W PETERSON AVE STE 402 CHICAGO, IL 60646
Location Phone
(773) 545-6047
Location Fax
(888) 635-3135
Mailing Address
741 W MAIN ST PEORIA, IL 61606
Mailing Phone
(800) 334-5705
Mailing Fax
(888) 635-3135
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2007
Last Update Date
08-05-2020
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DONALD GOERTZEN CPO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(309) 676-2276

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1881746758, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 1 + 4 + 4 + 1 + 2 + 7 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1881746758.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
4801 W PETERSON AVE, STE 525
CHICAGO, IL 60646
Psychologist (Clinical)
4801 W PETERSON AVE, STE 525
CHICAGO, IL 60646
Specialist
4801 W PETERSON AVE, STE 506
CHICAGO, IL 60646
Physical Therapy Assistant
4801 W PETERSON AVE, SUITE 214
CHICAGO, IL 60646
Allergy & Immunology (Allergy)
4801 W PETERSON AVE, SUITE 306
CHICAGO, IL 60646
Dentist
4801 W PETERSON AVE, SUITE 400
CHICAGO, IL 60646
Physical Therapist
4801 W PETERSON AVE, SUITE 301
CHICAGO, IL 60646
Internal Medicine
4801 W PETERSON AVE, #600
CHICAGO, IL 60646
Physical Therapist
4801 W PETERSON AVE, SUITE 402
CHICAGO, IL 60646
Physical Therapist
4801 W PETERSON AVE, SUITE 402
CHICAGO, IL 60646
Psychologist
4801 W PETERSON AVE, SUITE 403
CHICAGO, IL 60646
Dentist (General Practice)
4801 W PETERSON AVE, SUITE 602
CHICAGO, IL 60646
Physical Therapist
4801 W PETERSON AVE, STE 213
CHICAGO, IL 60646
Dentist
4801 W PETERSON AVE, SUITE 207
CHICAGO, IL 60646
Dentist (General Practice)
4801 W PETERSON AVE, #211
CHICAGO, IL 60646
Psychologist
4801 W PETERSON AVE, SUITE 612
CHICAGO, IL 60646
Psychologist (Clinical)
4801 W PETERSON AVE
CHICAGO, IL 60646
Dentist
4801 W PETERSON AVE, SUITE 550
CHICAGO, IL 60646
Physical Therapist (Pediatrics)
4801 W PETERSON AVE, ST 301
CHICAGO, IL 60646
Social Worker (Clinical)
4801 W PETERSON AVE, SUITE 612
CHICAGO, IL 60646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881746758, enumerated as an "organization" on January 18, 2007.

The provider is located at 4801 W PETERSON AVE STE 402 CHICAGO, IL 60646 and the phone number is (773) 545-6047.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.