OTTO BOCK ORTHOPEDIC SERVICES LLC (NPI# 1700111333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700111333 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK ORTHOPEDIC SERVICES LLC |
| Practice Address |
467 W Fullerton Ave Elmhurst IL 60126-1404 |
| Mailing Address |
2 Carlson Pkwy Suite 100 Attn: Contracts Dept Minneapolis MN 55447-4467 |
| Practice Telephone | 6305325849 |
| Mailing Telephone | 7632535699 |
| Mailing Fax Number | 7632535799 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2013-04-15 |
| Authorized Official Name | SHARON CLARK (CONTRACT ADMINISTRATOR) |
| Authorized Official Telephone | 7632535679 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203.001141 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ABP DMENSION PIN | 26106 | 01 |
| AZ | NORTHWOOD NPN PIN | 82108 | 01 |
| AZ | AETNA HMO PIN | 2624721 | 01 |
| AZ | CNN PIN | 5453317 | 01 |
| AZ | 942046-01 | 05 | |
| AZ | AZ NONHMO PIN | 7850253 | 01 |
| AZ | USA MCO PIN | 861099 | 01 |
| AZ | BCBS AZ PIN | AZ027990 | 01 |
| AZ | CARECENTRIX PIN | 1220 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325272 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 547 N Mount Juliet Rd Ste 295, Mt Juliet, TN 37122-8318 | 2020-01-13 |
| 1447712146 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 70 Glen St Ste 230, Glen Cove, NY 11542-2854 | 2019-04-02 |
| 1376004614 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2780 S Jones Blvd Ste 140, Las Vegas, NV 89146-5641 | 2019-03-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1801375399 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 101 W Ridgely Rd Ste 7b, Lutherville, MD 21093-5130 | 2018-08-07 |
| 1598258378 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 5601 Nw 72nd Street, Suite 257, Oklahoma City, OK 73132-5920 | 2018-06-07 |
| 1891244711 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 200 W Higgins Rd Ste 202, Schaumburg, IL 60195-3724 | 2016-10-04 |
| 1114388394 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 7131 Spring Meadows W Dr, Suite E-1, Holland, OH 43528-7939 | 2016-03-15 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| New York State Corporations | OTTO BOCK ORTHOPEDIC SERVICES LLC | 80 State Street, Albany, New York 12207-2543 |
| Oregon Corporations, Companies and Business Names | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Colorado Business Entities | Otto Bock Orthopedic Services LLC | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Washington State Corporations | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Pkwy, Suite 600, Austin, TX 78758-3597 |
| Vermont Business Registrations | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Massachusetts Corporations | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Domain 7, Suite 600, Austin, TX 78758 |
| Oklahoma Business Registrations | OTTO BOCK ORTHOPEDIC SERVICES LLC | Two Carlson Parkway N #100, Plymouth, MN 55447 |
| Indiana Business Entities | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Domain 7, Suite 600, Austin, TX 78758 |
| Virginia Business Entities | Otto Bock Orthopedic Services LLC | 11501 Alterra Parkway, Domain 7 Suite 600, Austin, Texas 78758 |
| Street Address |
467 W FULLERTON AVE |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512637 | American Health Supplies Inc | Durable Medical Equipment & Medical Supplies | 9011 Corona Ave Ground Floor, Elmhurst, NY 11373-4196 | 2020-03-11 |
| 1982191821 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 536 S York St Ste 4220, Elmhurst, IL 60126-3952 | 2018-04-17 |
| 1942627393 | Beams Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 691 N Church Rd, Elmhurst, IL 60126-1427 | 2014-03-24 |
| 1689974313 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 155 E Brush Hill Rd Ste D1543, Elmhurst, IL 60126-5658 | 2010-10-28 |
| 1083947923 | Integrated Respiratory Services, Inc | Durable Medical Equipment & Medical Supplies | 215 W Wrightwood Ave, Elmhurst, IL 60126-1112 | 2009-09-10 |
| 1538205323 | Mount Sinai Surgical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 8008 Baxter Ave, Elmhurst, NY 11373-1313 | 2007-01-29 |
| 1174691976 | H & R Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 9431 59th Ave, Elmhurst, NY 11373-5168 | 2006-12-01 |
| 1124132154 | Shield Denver Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 847 N Church Ct, Unit A, Elmhurst, IL 60126-1036 | 2006-08-18 |
| 1487665402 | Digitrace Care Services, Inc | Durable Medical Equipment & Medical Supplies | 386 N York St Ste 207, Elmhurst, IL 60126-2367 | 2006-08-11 |
| 1649287699 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 8277 Broadway, Elmhurst, NY 11373-3352 | 2006-08-02 |
| Find all providers in ELMHURST | ||||
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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.