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

MD Orthotic & Prosthetic Laboratory, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1932652567

MD Orthotic & Prosthetic Laboratory, Inc is a Prosthetic/Orthotic Supplier in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8741 S Greenwood Ave Ste 101
Chicago, IL 60619-7058
Phone: (773) 779-5869
Fax: (773) 779-8869
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 211000147 (IL)

Record details

NPI number1932652567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kendra Mickelson — Manager Of Revenue Cycle Management · (309) 285-7752
Other names Comprehensive Prosthetics & Orthotics
NPI enumeratedAugust 1, 2016
Last updated in NPPESSeptember 2, 2025
Certification dateJune 5, 2025
Mailing address741 W Main St, Peoria, IL 61606-1953

Other providers in Chicago