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Timothy Ray Price, CPO
Prosthetist in Joliet, Illinois
NPI 1487851283

Timothy Ray Price is a Prosthetist based in Morton Grove, IL. Timothy Ray Price practices in Joliet, IL and has the professional credentials of CPO. The NPI Number for Timothy Ray Price is 1487851283 and holds a License No. 211-000025 (Illinois).

The current practice location address for Timothy Ray Price is 815 N Larkin Ave, Joliet, IL and can be reached out via phone at 815-207-4200 and via fax at 815-207-4200.

Location: 815 N Larkin Ave, Joliet, IL, 60053-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487851283
Provider Name
Timothy Ray Price
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
815 N Larkin Ave, Joliet, IL, 60053-1618
Phone Number
815-207-4200
Fax Number
815-207-4200
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XX-XXX1669 05 IL
institution
Provider Business Practice Location Address Details
Address
815 N Larkin Ave
City
Joliet
State
Illinois
Zip
60435-3438
Phone Number
815-207-4200
Fax Number
815-207-4200
person
Provider Business Mailing Address Details
Address
815 N Larkin Ave
City
Joliet
State
Illinois
Zip
60435-3438
Phone Number
815-207-4200
Fax Number
815-207-4200
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
211-000025 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
213-000028 (Illinois)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
211-000025 (Illinois)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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