Organization · Type 2 NPI

MD Orthotic and Prosthetic Laboratory, Inc

Prosthetic/Orthotic Supplier · Oak Lawn, IL

NPI number 1205988797 Active

Practice location

4710 W 95th St Ste B4
Oak Lawn, IL 60453-2546

Fax (773) 779-8869

Mailing address

741 W Main St
Peoria, IL 61606-1953

Other practice locations

  • 10408 S Western Ave, Chicago, IL 60643-2508 · (773) 779-5896

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X060008643213000063 (IL)
Prosthetic/Orthotic Supplier 335E00000XNone listed

Prosthetic/Orthotic Supplier: 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.

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About NPI 1205988797

MD Orthotic and Prosthetic Laboratory, Inc's National Provider Identifier is 1205988797, issued on Jan 17, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Oct 26, 2026.