Organization
MD ORTHOTIC & PROSTHETIC LABORATORY, INC.
Active
Other names
Comprehensive Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA F MICKELSON (MANAGER OF REVENUE CYCLE MANAGEMENT)
(309) 285-7752
Entity
Organization
Contact information
Practice address
8741 S GREENWOOD AVE STE 101, CHICAGO, IL 60619-7058
(773) 779-5869
(773) 779-8869
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
211000147
IL
Other
Enumeration date
08/01/2016
Last updated
09/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us