REICHERT PROSTHETICS & ORTHOTICS, LLC (NPI# 1881044519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881044519 |
| Entity Type | Organization |
| Organization Name | REICHERT PROSTHETICS & ORTHOTICS, LLC |
| Practice Address |
15 Tower Ct Suite 245 Gurnee IL 60031-3336 |
| Mailing Address |
5027 Green Bay Rd Suite 124 Kenosha WI 53144-1771 |
| Practice Telephone | 2626544300 |
| Practice Fax Number | 2626544305 |
| Mailing Telephone | 2626544600 |
| Mailing Fax Number | 2626544305 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | JANICE DUPONT (OFFICE MANAGER) |
| Authorized Official Telephone | 2626544300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285908624 | Reichert Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd Ste 124, Kenosha, WI 53144-1771 | 2012-03-02 |
| 1376897140 | Reichert Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 708 Florsheim Dr, Suite 13, Libertyville, IL 60048-5001 | 2012-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REICHERT PROSTHETICS & ORTHOTICS, LLC | 5027 Green Bay Rd Ste 124, Kenosha, WI 53144-1771 |
| Street Address |
15 TOWER CT SUITE 245 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679567747 | Barry Goldman | Pediatrics | 15 Tower Ct, Suite 100, Gurnee, IL 60031-3336 | 2005-09-06 |
| 1245761295 | Lake County Primary Care S.c. | Family Medicine | 15 Tower Ct, Suite 255, Gurnee, IL 60031-3336 | 2017-03-22 |
| 1962824573 | Gerald Frank Md Internal Medicine Sc | Internal Medicine | 15 Tower Ct, Suite 255, Gurnee, IL 60031-3336 | 2014-01-16 |
| 1801144951 | Medcare Pharmacy Inc | Pharmacy | 15 Tower Ct, Suite 195, Gurnee, IL 60031-3336 | 2012-08-21 |
| 1780820647 | Healthvision Medical Services Sc | Clinic/Center | 15 Tower Ct, Suite 210, Gurnee, IL 60031-3336 | 2008-12-24 |
| 1891944666 | Marson Tenoso | Pediatrics | 15 Tower Ct, Suite 150, Gurnee, IL 60031-3336 | 2008-09-16 |
| 1346406162 | Linda Wheeless Buier | Nurse Practitioner | 15 Tower Ct, Suite 100, Gurnee, IL 60031-3336 | 2008-07-31 |
| 1073779088 | Ron-gran Pineda Apilado | Physician Assistant | 15 Tower Ct, Suite 100, Gurnee, IL 60031-3336 | 2008-07-30 |
| 1447452610 | Lavanya Srinivasan | Internal Medicine | 15 Tower Ct, Suite 140, Gurnee, IL 60031-3336 | 2007-06-01 |
| 1760684088 | Rx Tower Pharmacy, Ltd. | Pharmacy | 15 Tower Ct, Suite 195, Gurnee, IL 60031-3336 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| 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 |
|---|---|---|---|---|
| 1366974206 | Kelly Reid-krueger | Prosthetic/Orthotic Supplier | 6475 Washington St Ste 100, Gurnee, IL 60031-4404 | 2017-03-30 |
| 1851409932 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 6475 Washington St., Suite 100, Gurnee, IL 60031 | 2006-08-28 |
| 1437681384 | Erin Ruxton | Prosthetic/Orthotic Supplier | 6475 Washington St Ste 100, Gurnee, IL 60031-4404 | 2017-03-30 |
| 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 |
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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.