MD ORTHOTIC AND PROSTHETIC LABORATORY, INC; NPI #1205988797

Contact Information

MD ORTHOTIC AND PROSTHETIC LABORATORY, INC

4710 W 95TH ST STE B4
OAK LAWN, IL 60453

Phone: 773-779-5896
Fax: 773-779-8869
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for MD ORTHOTIC AND PROSTHETIC LABORATORY, INC

NPI # 1205988797

LBN Legal business name MD ORTHOTIC AND PROSTHETIC LABORATORY, INC

Authorized official AMIT BHANIT - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2007

Last updated 09/24/2024 - More than a year ago

Identifiers

License #

060008643213000063

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MD ORTHOTIC AND PROSTHETIC LABORATORY, INC

Contact Information

Specialty

Prosthetic/Orthotic Supplier

NPI Profile & details for MD ORTHOTIC AND PROSTHETIC LABORATORY, INC

Reviews for MD ORTHOTIC AND PROSTHETIC LABORATORY, INC