KINETIC ORTHOTICS, INC. (NPI# 1104007137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104007137 |
| Entity Type | Organization |
| Organization Name | KINETIC ORTHOTICS, INC. |
| Practice Address |
3958 Rose Ave Western Springs IL 60558-1032 |
| Practice Telephone | 7082469249 |
| Practice Fax Number | 7082469249 |
| Mailing Telephone | 7082469249 |
| Mailing Fax Number | 7082469249 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. JOSEPH SKERTICH (PRESIDENT) |
| Authorized Official Telephone | 7082469249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
IL | Suppliers |
| Street Address |
3958 ROSE AVE |
| City | WESTERN SPRINGS |
| State | IL |
| Zip Code | 60558-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558373175 | Joseph Skertich | Orthotist | 3958 Rose Ave, Western Springs, IL 60558-1032 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280941 | Kenneth J. Szafranski, Dds, Ltd Matthew S. Van Beek, Dds | Dentist | 1100 Hillgrove Ave, Suite 1&2, Western Springs, IL 60558 | 2019-02-06 |
| 1942782313 | Tom Schimel | Counselor | 1023 Burlington Avenue, Western Springs, IL 60558 | 2018-09-03 |
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1205281763 | Cara Bowton | Student in an Organized Health Care Education/Training Program | 4051 Linden Ave, Western Springs, IL 60558 | 2016-05-03 |
| 1598109803 | Megan Marie Tierney | Student in an Organized Health Care Education/Training Program | 5001 Lawn Ave, Western Springs, IL 60558 | 2013-04-18 |
| 1013275189 | Farouk Fahim Girgis | Specialist | 5731 Grand Avenue, Western Springs, IL 60558 | 2012-04-26 |
| 1346516507 | Dara Kruchko | Occupational Therapist | 3839 Central Ave., Western Springs, IL 60558 | 2012-03-31 |
| 1346540697 | John Vrchota IIi | Pharmacist | #14 Garden Market St, Western Springs, IL 60558 | 2010-11-02 |
| 1447574637 | Ryan Schmaedeke | Physical Therapist | 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558 | 2010-03-17 |
| 1043463664 | Matthew David Peahl | Chiropractor | 1052 Hillgrove Ave., Western Springs, IL 60558 | 2008-10-28 |
| Find all providers in zip 60558 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1801416045 | Midwest Coach Builders, Inc | Durable Medical Equipment & Medical Supplies | 200 Easy St Ste I, Carol Stream, IL 60188-2399 | 2020-04-17 |
| 1154962389 | Windy City Medtek LLC | Durable Medical Equipment & Medical Supplies | 1305 Remington Rd Ste E, Schaumburg, IL 60173-4820 | 2019-09-29 |
| 1811452501 | Medequip, Inc | Durable Medical Equipment & Medical Supplies | 2863 95th St Ste 143, Naperville, IL 60564-9006 | 2019-02-06 |
| 1760951818 | Always Great Smiles Dot Com PC | Durable Medical Equipment & Medical Supplies | 586 Duane St, Glen Ellyn, IL 60137-4639 | 2018-11-19 |
| 1285123349 | Sleep Better Illinois LLC | Durable Medical Equipment & Medical Supplies | 261 N Randall Rd Ste 103, Lake In The Hills, IL 60156-5999 | 2018-05-04 |
| 1588151302 | Rinella Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 27w130 Roosevelt Rd # 2e, Winfield, IL 60190-1611 | 2018-04-17 |
| 1205353695 | Nutoys Leisure Products, Inc. | Durable Medical Equipment & Medical Supplies | 915 W Hillgrove Ave, La Grange, IL 60525-5823 | 2017-08-25 |
| 1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
| 1508303553 | Kasper Healthcare Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 11535 183rd Pl, Orland Park, IL 60467-4905 | 2017-01-30 |
| Find all providers with the same taxonomy | ||||
| City | WESTERN SPRINGS |
| Zip Code | 60558 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.