Organization · Type 2 NPI

MD Orthotic & Prosthetic Laboratory, Inc.

Prosthetic/Orthotic Supplier · Chicago, IL

NPI number 1932652567 Active

Practice location

8741 S Greenwood Ave Ste 101
Chicago, IL 60619-7058

Call (773) 779-5869 Map

Fax (773) 779-8869

Mailing address

741 W Main St
Peoria, IL 61606-1953

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X211000147 (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 1932652567

MD Orthotic & Prosthetic Laboratory, Inc.'s National Provider Identifier is 1932652567, issued on Aug 1, 2016. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 2, 2025.