OrganizationActive
MD Orthotic and Prosthetic Laboratory, Inc
NPI 1881746758 · Prosthetic/Orthotic Supplier · Chicago, IL
MD Orthotic and Prosthetic Laboratory, Inc is a Prosthetic/Orthotic Supplier organization in Chicago, IL (NPI 1881746758).
Provider details
- NPI number
- 1881746758
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Donald Goertzen, President(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
4801 W Peterson Ave
Ste 402
Chicago, IL 60646
Phone: (773) 545-6047
Fax: (888) 635-3135
Street-level locationGet directions
Mailing address
741 W Main St
Peoria, IL 61606-1953
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Frequently asked questions
- What is MD Orthotic and Prosthetic Laboratory, Inc's NPI number?
- MD Orthotic and Prosthetic Laboratory, Inc's National Provider Identifier (NPI) is 1881746758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is MD Orthotic and Prosthetic Laboratory, Inc?
- MD Orthotic and Prosthetic Laboratory, Inc is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is MD Orthotic and Prosthetic Laboratory, Inc located?
- MD Orthotic and Prosthetic Laboratory, Inc's practice location on file with NPPES is 4801 W Peterson Ave, Chicago, IL 60646.
- What is MD Orthotic and Prosthetic Laboratory, Inc's phone number?
- The practice phone number listed in the NPPES registry for MD Orthotic and Prosthetic Laboratory, Inc is (773) 545-6047.
- Who is the authorized official for MD Orthotic and Prosthetic Laboratory, Inc?
- The authorized official listed on MD Orthotic and Prosthetic Laboratory, Inc's NPPES record is Donald Goertzen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is MD Orthotic and Prosthetic Laboratory, Inc's NPI active?
- Yes — MD Orthotic and Prosthetic Laboratory, Inc's NPI (1881746758) is active in the NPPES registry as of the last update on 2020-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.