Prosthetic Orthotic Specialist Inc

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
701 Ne Jefferson Ave, Peoria
Illinois, 61603

 309-688-9549     309-676-0486Maps & Directions
Prosthetic Orthotic Specialist Inc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Peoria, Illinois. It is situated at 701 Ne Jefferson Ave, Peoria and its contact number is 309-688-9549. The authorized person of Prosthetic Orthotic Specialist Inc is Mr. Donald Goertzen who is President of the store and his/her contact number is 309-676-2276.
Prosthetic Orthotic Specialist Inc is 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.


Complete Center Profile:
Prosthetic Orthotic Specialist Inc Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier, Prosthetic & Orthotic Supplier
Address:701 Ne Jefferson Ave, Peoria,
Illinois, 61603
Phone:309-688-9549
Fax:309-676-0486
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Mr. Donald Goertzen
Position: President
Contact Number: 309-676-2276
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Prosthetic Orthotic Specialist Inc center are as mentioned below.
NPI Number: 1851389449
NPI Enumeration Date: 09 Oct, 2005
NPI Last Update On: 30 Jul, 2018

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prosthetic Orthotic Specialist Inc are as mentioned below.
SpecializationLicense NumberStateStatus
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
05770602OtherIllinoisBlue Cross Blue Shield
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Prosthetic Orthotic Specialist Inc
741 W Main St,
Peoria, Illinois
Zip: 61606-1953
Phone Number: 309-676-2276
Fax Number: 309-676-0486
Patients can reach Prosthetic Orthotic Specialist Inc at 701 Ne Jefferson Ave, Peoria, Illinois or can call to book an appointment on 309-688-9549. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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