OrganizationActive
MD Orthotic & Prosthetic Laboratory, Inc.
NPI 1043362932 · Prosthetic/Orthotic Supplier · Arlington Heights, IL
Provider details
- NPI number
- 1043362932
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Amit Bhanti, Ceo(309) 676-2276
- License
- 060008643213000063 (IL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1614 W Central Rd Ste 111
Arlington Heights, IL 60005-2452
Phone: (847) 364-4865
Fax: (888) 635-3135
Street-level locationGet directions
Mailing address
714 W Main St
Peoria, IL 61606-1952
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.