MICHAEL'S ORTHOTICS, L.L.C.


Address: 1551 Classen Dr, Belleville, IL 62220-3260
Phone: 3145325462

MICHAEL'S ORTHOTICS, L.L.C. (NPI# 1245626720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245626720
Entity Type Organization
Organization Name MICHAEL'S ORTHOTICS, L.L.C.
Practice Address 1551 Classen Dr
Belleville
IL 62220-3260
Mailing Address 225 S Meramec Ave
Suite306
Saint Louis
MO 63105-3511
Practice Telephone 3145325462
Mailing Telephone 3145325462
Enumeration Date 2015-04-10
Last Update Date 2015-04-10
Authorized Official Name MR. T. MICHAEL KUKOWSKY (CERTIFIED PEDORTHISTS)
Authorized Official Telephone 3145325462
Authorized Official Credential C. PED.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
330348306 MO Other Service Providers

Office Location

Street Address 1551 CLASSEN DR
City BELLEVILLE
State IL
Zip Code 62220-3260

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144729716 St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of Clinic/Center 180 South Third Street Suite 101, Belleville, IL 62220 2018-02-08
1437675535 Prorehab PC Occupational Therapist 1915 Carlyle Ave, Ste D, Belleville, IL 62220 2017-08-21
1629527650 Arika Forrest Nurse Practitioner 140 Iowa Ave, Belleville, IL 62220 2016-10-03
1861861403 Belleville Endoscopy LLC Internal Medicine 311 West Lincoln St, Suite 101, Belleville, IL 62220 2015-09-24
1962871558 Antony Frierdich Specialist/Technologist 22 South 13th Street, Belleville, IL 62220 2015-09-24
1588032858 Dana Wright Pharmacist 211 South Thrid Street, Belleville, IL 62220 2015-09-03
1629208731 Lisa Marlow Johnson Developmental Therapist 34 Fenwood Dr, Belleville, IL 62220 2009-07-23
1841361623 Neurological Surgery of Belleville Neurological Surgery 340 West Lincoln Street, Suite 540, Belleville, IL 62220 2006-11-13
1689769119 Kathy Jo Corn Counselor 521 W. Main, Suite 201 B, Belleville, IL 62220 2006-10-03
1780609578 Southern Illinois Health Care Foundation, Inc. Counselor 180 S 3rd St Ste 103&104, Belleville, IL 62220 2006-07-13
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164072831 Brandi Fields Specialist 6400 W Main St Ste 3k, Belleville, IL 62223-3806 2019-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366059008 Jena Young Specialist 19 Sapphire Ln, Fairview Heights, IL 62208-2641 2020-09-27
1164034633 Michelle Coburn Specialist 8327 S Loomis Blvd, Chicago, IL 60620-3958 2020-08-17
1558988865 Ebony Roberts Specialist 16541 Oak Park Ave, Tinley Park, IL 60477-1752 2020-07-02
1073135729 Marquita Daniel Specialist 9295 159th St Ste 131, Orland Hills, IL 60487-5977 2020-05-15
1760021703 Monica Bembry Specialist 552 N Mannheim Rd Ste B, Hillside, IL 60162-1121 2019-12-21
1669029096 Akossiwa Amenyo Specialist 625 S Lincoln Ave, O Fallon, IL 62269-2663 2019-08-21
1043878747 Kermitt Alexander Specialist 1575 Sibley Blvd, Calumet City, IL 60409-2304 2019-05-29
1508421579 Jorell Glass Specialist 456 Fulton St Ste 180, Peoria, IL 61602-1292 2019-05-06
1114582368 Shundrea Neely Specialist 10301 Lincoln Trl, Fairview Heights, IL 62208-1829 2019-05-03
1730644568 Ashley Nicole Morgan Specialist 7732 S Evans Ave, Chicago, IL 60619-2909 2019-02-06
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Competitor

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City BELLEVILLE
Zip Code 62220

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Dataset Information

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.

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