HANGER PROSTHETICS & ORTHOTICS WEST (NPI# 1043527997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043527997 |
Entity Type | Organization |
Organization Name | HANGER PROSTHETICS & ORTHOTICS WEST |
Practice Address |
17530 Kedzie Ave Hazel Crest IL 60429-2004 |
Mailing Address |
3540 E Baseline Rd Ste 100 Phoenix AZ 85042-9628 |
Practice Telephone | 7089570240 |
Mailing Telephone | 6024262717 |
Enumeration Date | 2010-09-13 |
Last Update Date | 2010-09-13 |
Authorized Official Name | SHERYL S PRICE (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Telephone | 5034938288 |
Is Organization Subpart | Y |
Parent Organization Name | HANGER ORTHOPEDIC GROUP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821373275 | Hanger Prosthetics & Orthotics West | Durable Medical Equipment & Medical Supplies | 1073 Ross Ave, Suite D, El Centro, CA 92243-4371 | 2011-10-18 |
1659668796 | Hanger Prosthetics & Orthotics West | Durable Medical Equipment & Medical Supplies | 1480 S Harbor Blvd, Suite 1, La Habra, CA 90631-7534 | 2011-07-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HANGER PROSTHETICS & ORTHOTICS WEST | 1301 Medical Parkway, Cedar Park, TX 78613-2423 |
System for Award Management (SAM) Entities | HANGER PROSTHETICS & ORTHOTICS WEST INC | 1270 E Garvey Ave Ste 145, Covina, CA 91724-3658 |
System for Award Management (SAM) Entities | HANGER PROSTHETICS & ORTHOTICS WEST, INC | 4410 Arapahoe Ave Ste 220, Boulder, CO 80303-1155 |
Oregon Corporations, Companies and Business Names | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 10910 Domain Drive Suite 300, Austin, TX 78758 |
System for Award Management (SAM) Entities | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 2901 Medical Arts St Ste 500, Austin, TX 78705-3335 |
Washington State Corporations | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 10910 Domain Dr Ste 300, Austin, TX 78758 |
Colorado Business Entities | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 10910 Domain Dr., Ste 300, Austin, TX 78758 |
Connecticut Business Registrations | HANGER PROSTHETICS & ORTHOTICS WEST, INC. | 10910 Domain Drive, Suite 300, Austin, TX 78758 |
Street Address |
17530 KEDZIE AVE |
City | HAZEL CREST |
State | IL |
Zip Code | 60429-2004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659445518 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 17530 Kedzie Ave, Hazel Crest, IL 60429-2004 | 2006-11-20 |
1649722315 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 17530 Kedzie Ave, Hazel Crest, IL 60429-2004 | 2016-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
Find all providers in zip 60429 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
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. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649722315 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 17530 Kedzie Ave, Hazel Crest, IL 60429-2004 | 2016-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
1225653686 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1290 W Northwest Hwy, Palatine, IL 60067-1897 | 2020-06-11 |
1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
1134748767 | The Weave Luxe Bar | Prosthetic/Orthotic Supplier | 7315 Lemont Rd, Downers Grove, IL 60516-3807 | 2020-04-14 |
1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
1164080743 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 391 Quadrangle Dr Ste N4, Bolingbrook, IL 60440-3443 | 2019-05-30 |
1760047583 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 13500 Circle Dr Ste 202, Orland Park, IL 60462-1343 | 2019-05-07 |
1114580107 | Thomas Gavin | Prosthetic/Orthotic Supplier | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 | 2019-04-16 |
Find all providers with the same taxonomy |
City | HAZEL CREST |
Zip Code | 60429 |
Please comment or provide details below to improve the information on HANGER PROSTHETICS & ORTHOTICS WEST.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.