Organization · Type 2 NPI

MD Orthotic and Prosthetic Laboratory, Inc

Prosthetic/Orthotic Supplier · Joliet, IL

NPI number 1679625560 Active

Practice location

3077 W Jefferson St Ste 101
Joliet, IL 60435-5263

Fax (779) 601-0195

Mailing address

741 W Main St
Peoria, IL 61606-1953

Other practice locations

  • 8400 Brookfield Ave, 1st Floor, Brookfield, IL 60513 · (888) 635-2271

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X060008643213000063 (IL)

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 1679625560

MD Orthotic and Prosthetic Laboratory, Inc's National Provider Identifier is 1679625560, issued on Jan 18, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Joliet, IL. The record was last updated on Jun 26, 2025.