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

Omnicare Labs of Champaign Inc

Organization Prosthetic/Orthotic Supplier · NPI 1972921302

Omnicare Labs of Champaign Inc is a Prosthetic/Orthotic Supplier in Mattoon, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
Specialties on file
2
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

201 Richmond Ave E Ste 5
Mattoon, IL 61938-4665
Phone: (217) 235-6664
Fax: (217) 235-6655
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 211000198 (IL)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence 213000216 (IL)

Record details

NPI number1972921302
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOmnicare Labs of Champaign
Authorized official William Devlin — President Cpo/L · (217) 344-6664
Other names Omni Prosthetics And Orthotics
NPI enumeratedApril 2, 2014
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address502 S Vine St, Urbana, IL 61801-4220

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