Organization · Type 2 NPI

MD Orthotic and Prosthetic Laboratory, Inc

Prosthetic/Orthotic Supplier · Chicago, IL

NPI number 1881746758 Active

Practice location

4801 W Peterson Ave, Ste 402
Chicago, IL 60646

Call (773) 545-6047 Map

Fax (888) 635-3135

Mailing address

741 W Main St
Peoria, IL 61606-1953

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 1881746758

MD Orthotic and Prosthetic Laboratory, Inc's National Provider Identifier is 1881746758, issued on Jan 18, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 5, 2020.