QUAD CITY PROSTHETIC INC


Address: 1013 W Loras Dr, Suite A, Freeport, IL 61032
Phone: 8152662074

QUAD CITY PROSTHETIC INC (NPI# 1518198662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518198662
Entity Type Organization
Organization Name QUAD CITY PROSTHETIC INC
Practice Address 1013 W Loras Dr
Suite A
Freeport
IL 61032
Mailing Address 741 W Main St
Peoria
IL 61606-1953
Practice Telephone 8152662074
Practice Fax Number 8152662075
Mailing Telephone 8003345705
Mailing Fax Number 8886636322
Enumeration Date 2009-08-06
Last Update Date 2018-07-30
Authorized Official Name MR. DONALD GOERTZEN (PRESIDENT)
Authorized Official Telephone 3096762276
Authorized Official Credential CPO
Is Organization Subpart Y
Parent Organization Name QUAD CITY PROSTHETIC INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952634982 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 1222 Shooting Park Rd, #104, Peru, IL 61354 2009-09-09
1578794624 Quad City Prosthetic Inc Durable Medical Equipment & Medical Supplies 2207 E 52nd St, Ste 1, Davenport, IA 52807 2009-08-06
1215925805 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 4730 44th St, Rock Island, IL 61201 2005-10-09
1194058123 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 520 Valley View Dr, Ste 500, Moline, IL 61265 2009-09-09

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities QUAD CITY PROSTHETIC INC. 741 West Main Street, Peoria, IL 61606

Office Location

Street Address 1013 W LORAS DR
SUITE A
City FREEPORT
State IL
Zip Code 61032

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013517713 Saad Awan Pharmacist 2545 Illinois 26 S, Freeport, IL 61032 2020-10-30
1891354460 Freeport Chiropractic LLC Chiropractor 2 W Stephenson St, Freeport, IL 61032 2019-06-07
1487168373 Lindsey Rae Harris-baker Speech-Language Pathologist 1802 W Laurel St, Freeport, IL 61032 2017-11-30
1861871246 Pearl Pavilion LLC Skilled Nursing Facility 910 Kiwanis Drive, Freeport, IL 61032 2015-05-19
1245584598 Mary E Brown Massage Therapist 815 W. Pleasant Street, Freeport, IL 61032 2012-11-07
1700135803 April Braband Specialist 421 Exchange, Freeport, IL 61032 2012-09-05
1447486501 Gary Alan Besley Dentist 1450 S. West Ave., Freeport, IL 61032 2009-06-03
1023244290 Allies In Health Sc Chiropractor 418 W Meadows Dr., Freeport, IL 61032 2009-06-02
1912146614 Kayla Nicole Rodebaugh Specialist/Technologist 1010 Fairway Drive, Freeport, IL 61032 2009-02-19
1710158233 Joseph Davis Specialist/Technologist 1045 W Stephenson Street, Freeport, IL 61032 2008-03-13
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750656039 Sound Limbs Orthotics, Inc Prosthetic/Orthotic Supplier 45 Mallett Dr Suite 102, Freeport, ME 04032-1312 2012-03-20

Providers in the same taxonomy and state

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
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Competitor

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City FREEPORT
Zip Code 61032

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Dataset Information

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.

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