MD ORTHOTIC & PROSTHETIC LABORATORY, INC.
NPI 1932652567
Prosthetic/Orthotic Supplier in Chicago, IL

Active since August 01, 2016
8741 S GREENWOOD AVE STE 101, CHICAGO, IL 60619(773) 779-5869(773) 779-8869 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Jun 5, 2025, May 7, 2025 and 2 more (5 updates tracked since 2018).

About Md Orthotic & Prosthetic Laboratory, Inc. NPPES

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

MD ORTHOTIC & PROSTHETIC LABORATORY, INC. (NPI 1932652567), doing business as Comprehensive Prosthetics & Orthotics, is a healthcare organization registered as a prosthetic/orthotic supplier in Chicago, Illinois and active in the NPI registry since August 2016. The organization lists Kendra F Mickelson, Manager Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1932652567
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMD ORTHOTIC & PROSTHETIC LABORATORY, INC.
Location Address8741 S GREENWOOD AVE STE 101Chicago, IL 60619-7058
Mailing Address741 W Main StPeoria, IL 61606-1953 · (800) 334-5705 · Fax (888) 663-6322
Fax(773) 779-8869
Organization SubpartNo
Authorized OfficialKendra F MickelsonManager Of Revenue Cycle Management · (309) 285-7752
Enumeration DateAugust 1, 2016
Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1932652567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in IL · 211000147
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.
8741 S GREENWOOD AVE STE 101, Chicago, IL 60619

Other Names 1

Doing Business AsComprehensive Prosthetics & Orthotics

Other Providers at the Same Location NPPES

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

Exclusive Provider Organization
8741 S GREENWOOD AVE STE 101
CHICAGO, IL 60619

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 & Prosthetic Laboratory, Inc.'s NPI number?

The NPI number for MD Orthotic & Prosthetic Laboratory, Inc. is 1932652567. It was assigned to this organization in the NPPES registry on August 1, 2016. The provider is doing business as Comprehensive Prosthetics & Orthotics.

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

MD Orthotic & Prosthetic Laboratory, Inc. is located at 8741 S Greenwood Ave Ste 101, Chicago, IL 60619. The listed phone number is (773) 779-5869.

What is MD Orthotic & 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 & Prosthetic Laboratory, Inc. was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.