MD Orthotic & Prosthetic Laboratory, Inc.
NPI 1932652567 · Prosthetic/Orthotic Supplier · Chicago, IL
Enrolled with Medicare as Dme Supplier - Orthotic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
MD Orthotic & Prosthetic Laboratory, Inc. is a Prosthetic/Orthotic Supplier organization in Chicago, IL (NPI 1932652567).
Provider details
- NPI number
- 1932652567
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kendra Mickelson, Manager of Revenue Cycle Management(309) 285-7752
- License
- 211000147 (IL)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Other names (DBA / former)
- Doing business as
- Comprehensive Prosthetics & Orthotics
Registry dates
- Enumerated
- 2016-08-01
- Last updated
- 2025-09-02
- Certified
- 2025-06-05
Frequently asked questions
- What is MD Orthotic & Prosthetic Laboratory, Inc.'s NPI number?
- MD Orthotic & Prosthetic Laboratory, Inc.'s National Provider Identifier (NPI) is 1932652567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is MD Orthotic & Prosthetic Laboratory, Inc.?
- MD Orthotic & Prosthetic Laboratory, Inc. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is MD Orthotic & Prosthetic Laboratory, Inc. located?
- MD Orthotic & Prosthetic Laboratory, Inc.'s practice location on file with NPPES is 8741 S Greenwood Ave Ste 101, Chicago, IL 60619-7058.
- What is MD Orthotic & Prosthetic Laboratory, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for MD Orthotic & Prosthetic Laboratory, Inc. is (773) 779-5869.
- Does MD Orthotic & Prosthetic Laboratory, Inc. accept Medicare?
- MD Orthotic & Prosthetic Laboratory, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for MD Orthotic & Prosthetic Laboratory, Inc.?
- The authorized official listed on MD Orthotic & Prosthetic Laboratory, Inc.'s NPPES record is Kendra Mickelson, Manager of Revenue Cycle Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is MD Orthotic & Prosthetic Laboratory, Inc.'s NPI active?
- Yes — MD Orthotic & Prosthetic Laboratory, Inc.'s NPI (1932652567) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.