Active NPI
Woodfield Ortho Services, LLC
- Prosthetist
- Huntley, IL
National Provider Identifier
1144573353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 211000166
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 213000121 | IL | |
| Prosthetist | 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
National Provider Directory
National Provider DirectoryLocations
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.