Organization
ORTHOTIC PROSTHETIC SPECIALISTS, INC.
Active
Parent organization
ORTHOTIC PROSTHETIC SPECIALISTS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOTIC PROSTHETIC SPECIALISTS, INC.
Authorized official
NICHOLE BROEDERLOW (BILLING MANAGER)
(219) 836-8668
Entity
Organization
Contact information
Practice address
10750 W 143RD ST STE 50, ORLAND PARK, IL 60462-1929
(708) 590-6335
Mailing address
10750 W 143RD ST STE 50, ORLAND PARK, IL 60462-1929
(708) 590-6335
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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