OrganizationActive
Diva Resource Connection Inc
NPI 1619540572 · Prosthetic/Orthotic Supplier · Chicago, IL
Provider details
- NPI number
- 1619540572
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bryandie Walker, Owner(630) 303-8247
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4807 W Harrison St
Chicago, IL 60644-5130
Phone: (630) 303-8247
Street-level locationGet directions
Mailing address
2013 S 13th Ave
Maywood, IL 60153-3129
Registry dates
- Enumerated
- 2021-07-20
- Last updated
- 2021-07-20
- Certified
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.