ESSENTIAL PROSTHETICS AND ORTHOTICS (NPI# 1699839035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699839035 |
Entity Type | Organization |
Organization Name | ESSENTIAL PROSTHETICS AND ORTHOTICS |
Practice Address |
8400 Brookfield Ave 1st Floor Brookfield IL 60513-1707 |
Practice Telephone | 7083879700 |
Practice Fax Number | 7083879704 |
Mailing Telephone | 7083879700 |
Mailing Fax Number | 7083879704 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2008-05-30 |
Authorized Official Name | MARK DEVENS (PRESIDENT) |
Authorized Official Telephone | 7083879700 |
Authorized Official Credential | CO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | 060.008643213.00 | IL | Suppliers |
Street Address |
8400 BROOKFIELD AVE 1ST FLOOR |
City | BROOKFIELD |
State | IL |
Zip Code | 60513-1707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578739397 | Kate Margaret Horner | Orthotist | 8400 Brookfield Ave, Brookfield, IL 60513-1707 | 2008-05-01 |
1679625560 | Md Orthotic and Prosthetic Laboratories, Inc. | Prosthetic/Orthotic Supplier | 8400 Brookfield Ave, 1st Floor, Brookfield, IL 60513 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801318712 | Filip Maksimovic | Physical Therapy Assistant | 4329 Forest Ave, Brookfield, IL 60513 | 2017-07-12 |
1649666439 | Little Sprouts Pediatric Therapy Services, Inc | Occupational Therapist | 4324 Blanchan Ave., Brookefield, IL 60513 | 2015-04-08 |
1043411945 | School District 95 | Local Education Agency (LEA) | 2524 Maple Avenue, Brookfield, IL 60513 | 2007-05-29 |
1306972112 | George Tomecki | Family Medicine | 8905 Burlington Ave, Brookfield, IL 60513 | 2007-02-26 |
1316036486 | Community Support Services | Social Worker | 9021 Ogden Avenue, Brookfield, IL 60513 | 2006-10-12 |
1255425476 | Daniel J Lehenbauer | Dentist | 9224 Broadway, Brookfield, IL 60513 | 2006-10-03 |
1669574513 | Todd C Martin | Dentist | 9435 W. Ogden Ave, Brookfield, IL 60513 | 2006-09-02 |
1316988397 | Ehtesham J Ghani | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2006-06-09 |
1518302595 | Brook Park Medical Associates S C | Internal Medicine | 3101 Maple Ave, Brookfield, IL 60513 | 2013-05-06 |
1508076225 | Ehtesham J Ghani Md Sc | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2007-05-23 |
Find all providers in zip 60513 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205816857 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 2475 N 124th St, Brookfield, WI 53005-4630 | 2006-01-19 |
1679625560 | Md Orthotic and Prosthetic Laboratories, Inc. | Prosthetic/Orthotic Supplier | 8400 Brookfield Ave, 1st Floor, Brookfield, IL 60513 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
1225653686 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1290 W Northwest Hwy, Palatine, IL 60067-1897 | 2020-06-11 |
1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
1134748767 | The Weave Luxe Bar | Prosthetic/Orthotic Supplier | 7315 Lemont Rd, Downers Grove, IL 60516-3807 | 2020-04-14 |
1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
1164080743 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 391 Quadrangle Dr Ste N4, Bolingbrook, IL 60440-3443 | 2019-05-30 |
1760047583 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 13500 Circle Dr Ste 202, Orland Park, IL 60462-1343 | 2019-05-07 |
1114580107 | Thomas Gavin | Prosthetic/Orthotic Supplier | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 | 2019-04-16 |
Find all providers with the same taxonomy |
City | BROOKFIELD |
Zip Code | 60513 |
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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.