Organization
OPTECH ORTHOTICS & PROSTHETICS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN B MCNAB CPO (CERTIFIED ORTHOTIST PROSTHOTIST)
(815) 932-8564
Entity
Organization
Contact information
Practice address
121 SPRINGFIELD AVE, JOLIET, IL 60435
(815) 741-9700
(815) 741-4701
Mailing address
121 SPRINGFIELD AVE, JOLIET, IL 60435
(815) 741-9700
(815) 741-4701
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04622011
BCBS
—
01
—
80543
NORTHWOOD UHC
—
Enumeration date
02/01/2007
Last updated
06/01/2011
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