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

MD Orthotic and Prosthetic Laboratory, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1679625560

MD Orthotic and Prosthetic Laboratory, Inc is a Prosthetic/Orthotic Supplier in Joliet, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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

3077 W Jefferson St Ste 101
Joliet, IL 60435-5263
Phone: (779) 545-2270
Fax: (779) 601-0195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8400 Brookfield Ave, Brookfield, IL 60513 — (888) 635-2271

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 060008643213000063 (IL)

Record details

NPI number1679625560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amit Bhanti — Ceo · (309) 676-2276
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address741 W Main St, Peoria, IL 61606-1953

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