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Organization

MD ORTHOTIC AND PROSTHETIC LABORATORIES, INC

Active
Other names
MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
Organization subpart
No

Provider details

NPI number
Authorized official
AMIT BHANTI CPO (CEO)
(309) 676-2276
Entity
Organization

Contact information

Practice address
387 SHUMAN BLVD STE 201E, NAPERVILLE, IL 60563-8306
(630) 283-1830
(630) 320-2282
Mailing address
741 W MAIN ST, PEORIA, IL 61606-1953
(800) 334-5705
(888) 663-6322

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
060008643213000063
IL

Other

Enumeration date
01/18/2007
Last updated
09/24/2024
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