QUAD CITY PROSTHETIC INC


Address: 1222 Shooting Park Rd, #104, Peru, IL 61354
Phone: 8152231781

QUAD CITY PROSTHETIC INC (NPI# 1952634982) 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) 1952634982
Entity Type Organization
Organization Name QUAD CITY PROSTHETIC INC
Practice Address 1222 Shooting Park Rd
#104
Peru
IL 61354
Mailing Address 741 W Main St
Peoria
IL 61606-1953
Practice Telephone 8152231781
Practice Fax Number 8152231787
Mailing Telephone 8003345705
Mailing Fax Number 8886636322
Enumeration Date 2009-09-09
Last Update Date 2018-07-30
Authorized Official Name MR. DONALD GOERTZEN (PRESIDENT)
Authorized Official Telephone 3096762276
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578794624 Quad City Prosthetic Inc Durable Medical Equipment & Medical Supplies 2207 E 52nd St, Ste 1, Davenport, IA 52807 2009-08-06
1518198662 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 1013 W Loras Dr, Suite A, Freeport, IL 61032 2009-08-06
1215925805 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 4730 44th St, Rock Island, IL 61201 2005-10-09
1194058123 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 520 Valley View Dr, Ste 500, Moline, IL 61265 2009-09-09

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities QUAD CITY PROSTHETIC INC. 741 West Main Street, Peoria, IL 61606

Office Location

Street Address 1222 SHOOTING PARK RD
#104
City PERU
State IL
Zip Code 61354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922534148 Chicago Hearing LLC Hearing Aid Equipment 1222 Shooting Park Rd, Peru, IL 61354-1882 2017-05-08
1639459415 Cpo Services, Inc Prosthetic/Orthotic Supplier 1222 Shooting Park Rd, #104, Peru, IL 61354 2011-08-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750247 Saida Samedova Optometrist 5255 Il-251, Peru, IL 61354 2020-11-06
1205469483 Illinois Valley Community Hospital Registered Nurse 1403 Sixth Street, Peru, IL 61354 2020-02-17
1689228322 Zhong Xue Dentist 5301 Il-251, Ste A, Peru, IL 61354 2019-07-31
1003281668 Christopher Shane Smith Physical Therapist 1400 Midtown Road, Peru, IL 61354 2015-12-08
1770823197 Muscle Pain Clinic Inc Chiropractor 4231 Progress Blvd Ste 4, Peru, IL 61354 2013-02-21
1306194451 Vijaya Lakshmi Bathina Dentist 5301 Route 251, Peru, IL 61354 2012-08-21
1225305634 Walgreens Point of Service 1033 Shooting Park Road, Peru, IL 61354 2011-11-30
1811293574 Charles Riva Physical Therapist 4461 N. Progress Blvd., Peru, IL 61354 2011-01-28
1932403896 Emerging Vision, Inc Eyewear Supplier (Equipment, not the service) 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 2011-01-06
1457668170 Illinois Valley Community Hospital Nurse Practitioner 5307 Route 251, Peru, IL 61354 2010-09-01
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760630644 Girlfriends, LLC Prosthetic/Orthotic Supplier 4419 Progress Blvd, Peru, IL 61354-1109 2008-09-04
1639459415 Cpo Services, Inc Prosthetic/Orthotic Supplier 1222 Shooting Park Rd, #104, Peru, IL 61354 2011-08-24

Providers in the same taxonomy and state

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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Competitor

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City PERU
Zip Code 61354

Improve Information

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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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