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Md Orthotic And Prosthetic Laboratory, Inc.
Prosthetic/Orthotic Supplier in Olympia Fields, Illinois
NPI 1699159624

Md Orthotic And Prosthetic Laboratory, Inc. is a Prosthetic/Orthotic Supplier based in Peoria, IL. Md Orthotic And Prosthetic Laboratory, Inc. practices in Olympia Fields, IL. The NPI Number for Md Orthotic And Prosthetic Laboratory, Inc. is 1699159624 and holds a License No. (Illinois).

The current practice location address for Md Orthotic And Prosthetic Laboratory, Inc. is 20060 Governors Dr Ste 102, Olympia Fields, IL and can be reached out via phone at 219-736-8896 and via fax at 219-293-8613. You can also correspond with Md Orthotic And Prosthetic Laboratory, Inc. through the mailing address at 741 W MAIN ST, PEORIA, IL - 61606-1953 (mailing address contact number: 309-676-2276).

Location: 20060 Governors Dr Ste 102, Olympia Fields, IL, 61606-1953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699159624
Provider Name
Md Orthotic And Prosthetic Laboratory, Inc.
Credential
Provider Entity Type
Organization
Address
20060 Governors Dr Ste 102, Olympia Fields, IL, 61606-1953
Phone Number
219-736-8896
Fax Number
219-293-8613
Provider Enumeration Date
07/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20060 Governors Dr Ste 102
City
Olympia Fields
State
Illinois
Zip
60461
Phone Number
219-736-8896
Fax Number
219-293-8613
person
Provider Business Mailing Address Details
Address
20060 Governors Dr Ste 102
City
Olympia Fields
State
Illinois
Zip
60461
Phone Number
219-736-8896
Fax Number
219-293-8613
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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