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Md Orthotic And Prosthetic Laboratories, Inc.
Prosthetic/Orthotic Supplier in Joliet, Illinois
NPI 1679625560

Md Orthotic And Prosthetic Laboratories, Inc. is a Prosthetic/Orthotic Supplier based in Peoria, IL. Md Orthotic And Prosthetic Laboratories, Inc. practices in Joliet, IL. The NPI Number for Md Orthotic And Prosthetic Laboratories, Inc. is 1679625560 and holds a License No. 060008643213000063 (Illinois).

The current practice location address for Md Orthotic And Prosthetic Laboratories, Inc. is 3077 W Jefferson St Ste 101, Joliet, IL and can be reached out via phone at 779-545-2270 and via fax at 779-601-0195.

Location: 3077 W Jefferson St Ste 101, Joliet, IL, 61606-1953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679625560
Provider Name
Md Orthotic And Prosthetic Laboratories, Inc.
Credential
Provider Entity Type
Organization
Address
3077 W Jefferson St Ste 101, Joliet, IL, 61606-1953
Phone Number
779-545-2270
Fax Number
779-601-0195
Provider Enumeration Date
01/18/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
3077 W Jefferson St Ste 101
City
Joliet
State
Illinois
Zip
60435-5263
Phone Number
779-545-2270
Fax Number
779-601-0195
person
Provider Business Mailing Address Details
Address
3077 W Jefferson St Ste 101
City
Joliet
State
Illinois
Zip
60435-5263
Phone Number
779-545-2270
Fax Number
779-601-0195
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
060008643213000063 (Illinois)
Definition
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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