Koebers Prosthetic & Orthotic Lab Inc.

LBN: Koebers Prosthetic & Orthotic Lab Inc.
Koebers Prosthetic & Orthotic Lab Inc. is an health care organization with primary practice located at 3834 W Irving Park Rd , Chicago IL 60618. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Koebers Prosthetic & Orthotic Lab Inc. can be contacted via phone (773) 539-7333, or through Goertzen, Donald via phone (309) 676-2276.

Contact Information

Primary practice address
3834 W Irving Park Rd Chicago IL 60618
Phone: (773) 539-7333
Fax: (773) 539-5535
Website:
Map and Directions
Authorized official contact:
Name: Goertzen, Donald CPO
Phone: (309) 676-2276

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1700936234
LBN Legal business name Koebers Prosthetic & Orthotic Lab Inc.
DBA Doing business as
Authorized official Goertzen, Donald CPO
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 30th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700936234 NPPES
Illinois Other 01680020 BLUE CROSS BLUE SHIELD

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