Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MD Orthotic and Prosthetic Laboratory, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1376226910

MD Orthotic and Prosthetic Laboratory, Inc is a Prosthetic/Orthotic Supplier in Naperville, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

387 Shuman Blvd Ste 201E
Naperville, IL 60563-8306
Phone: (630) 283-1830
Fax: (630) 320-2282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1376226910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kendra Mickelson — Manager Of Revenue Cycle Management · (309) 285-7752
NPI enumeratedAugust 10, 2023
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address741 W Main St, Peoria, IL 61606-1953

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