Organization Active NPI

Woodfield Ortho Services, LLC

  • Prosthetist
  • Huntley, IL
National Provider Identifier
1144573353
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
211000166 Issued in IL
Legal business name
WOODFIELD ORTHO SERVICES, LLC
Practice address
12380 Princeton Dr
Huntley, IL 60142-7655
Phone
(847) 382-3222
Fax
(847) 382-3223
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brett Kramer, C.P.O.
Title
Owner
Phone
(847) 382-3222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X 213000121 IL
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X 211000166 IL Primary

Addresses

Primary practice location

12380 Princeton Dr
Huntley, IL 60142-7655

Mailing address

20 Executive CT
Suite 2
South Barrington, IL 60010-9543
Phone (847) 382-3222

Other names 1

  • WOODFIELD ORTHOTICS AND PROSTHETICS Doing business as

National Provider Directory

National Provider Directory

Locations

12380 Princeton Dr
Huntley, IL 60142
Phone (847) 961-5800

37W002 Mooseheart Rd
Mooseheart, IL 60539
Phone (630) 264-2684

20 Executive Ct
Ste 2
South Barrington, IL 60010
Phone (847) 382-3222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1144573353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE CT",
            "address_2": "SUITE 2",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109543",
            "telephone_number": "847-382-3222",
            "fax_number": "847-382-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 PRINCETON DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427655",
            "telephone_number": "847-382-3222",
            "fax_number": "847-382-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFIELD ORTHO SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-382-3222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213000121",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211000166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODFIELD ORTHOTICS AND PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.