NPI 1033261912

MD Orthotic and Prosthetic Laboratories, INC

Organisation Prosthetic/Orthotic Supplier Naperville, IL

Practice location

Address: 387 Shuman Blvd STE 201e, Naperville, IL 60563-8306
Phone: (630) 283-1830
Fax: (630) 320-2282
Mailing address: 741 W Main St, Peoria, IL 61606-1953

Authorised official

Name: Amit Bhanti
Title: Ceo
Phone: (309) 676-2276

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 060008643213000063 (IL)

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Registry record

NPI: 1033261912
Entity type: Organization
NPI issued: 18 Jan 2007
Record last updated: 24 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.