Organization
OPTECH ORTHOTICS & PROSTHETICS
Active
Parent organization
OPTECH ORTHOTICS & PROSTHETICS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTECH ORTHOTICS & PROSTHETICS INC
Authorized official
MR. MARTIN B MCNAB JR. CPO (CERTIFIED ORTHOTIST PROSTHOTIST PRE)
(815) 932-8564
Entity
Organization
Contact information
Practice address
18210 S LAGRANGE, SUITE 206, TINLEY PARK, IL 60477
(708) 364-9700
(815) 932-8640
Mailing address
18210 S LAGRANGE, SUITE 206, TINLEY PARK, IL 60477
(708) 364-9700
(815) 932-8640
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04622011
BCBS
IL
01
—
80544
NORTHWOOD UHC
IL
Enumeration date
08/31/2007
Last updated
04/20/2008
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