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 1699159624

MD Orthotic and Prosthetic Laboratory, Inc is a Prosthetic/Orthotic Supplier in Olympia Fields, Illinois. Registered with an NPI since 2015.

In the registry since
2015
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

20060 Governors Dr Ste 102
Olympia Fields, IL 60461
Phone: (219) 736-8896
Fax: (219) 293-8613
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 number1699159624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Goertzen — President · (309) 676-2276
Other names Comprehensive Prosthetics & Orthotics; Comprehensive Prosthetics & Orthotics
NPI enumeratedJuly 20, 2015
Last updated in NPPESJuly 30, 2018
Mailing address741 W Main St, Peoria, IL 61606-1953