MIDWEST ILLINOIS ORTHOTICS LLC NPI 1174968820

NPI Information

  • NPI: 1174968820
  • Provider Name: MIDWEST ILLINOIS ORTHOTICS LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 11425 DORSETT RD
    STE B
    MARYLAND HEIGHTS, MO
    ZIP 63043
  • Phone: (314) 739-4408

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NPI Details

MIDWEST ILLINOIS ORTHOTICS LLC is a customized equipment durable medical equipment medical supplies in Maryland Heights, MO. MIDWEST ILLINOIS ORTHOTICS LLC NPI is 1174968820. The provider is registered as an organization entity type.

The provider's business location address is:

11425 DORSETT RD
STE B
MARYLAND HEIGHTS, MO
ZIP 63043-445
Phone: (314) 739-4408
Fax: (888) 770-2935

The provider's authorized official is Don Havey .
The authorized official title is Director and has the following contact phone number (314) 821-2600.

The enumeration date for this NPI number is 5/8/2013 and was last updated on 8/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16777510001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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