NPI 1043362932

MD Orthotic & Prosthetic Laboratory, INC.

Organisation Prosthetic/Orthotic Supplier Arlington Heights, IL

Practice location

Address: 1614 W Central Rd STE 111, Arlington Heights, IL 60005-2452
Phone: (847) 364-4865
Fax: (888) 635-3135
Mailing address: 714 W Main St, Peoria, IL 61606-1952

Authorised official

Name: Amit V 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: 1043362932
Entity type: Organization
NPI issued: 18 Jan 2007
Record last updated: 26 Nov 2025

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.