Md Orthotic And Prosthetic Laboratory, Inc

LBN: Md Orthotic And Prosthetic Laboratory, Inc
Md Orthotic And Prosthetic Laboratory, Inc is an health care organization with primary practice located at 4710 W 95Th St Ste B4 , Oak Lawn IL 60453. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Md Orthotic And Prosthetic Laboratory, Inc can be contacted via phone (773) 779-5896, or through Goertzen, Donald via phone (309) 676-2276.

Contact Information

Primary practice address
4710 W 95Th St Ste B4 Oak Lawn IL 60453
Phone: (773) 779-5896
Fax: (773) 779-8869
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 060008643213000063 Illinois
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1205988797
LBN Legal business name Md Orthotic And Prosthetic Laboratory, Inc
DBA Doing business as
Authorized official Goertzen, Donald CPO
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Mar 20th, 2024 - about 9 months 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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