Bionic Prosthetics and Orthotics Group LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Bolingbrook, IL
NPI 1164080743 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1164080743
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
- Practice address
- 303 Quadrangle Dr
Bolingbrook, IL 60440-3443 - Phone
- (708) 966-2850
- Fax
- (219) 979-6775
- NPI assigned
- May 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Laura Allen
- Title
- Contracting Manager
- Phone
- (336) 482-8231
Corporate family (same tax ID) 32
Member organizations 26
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bionic Prosthetics and Orthotics |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190917000705 | IL | DME Supplier - Orthotic Personnel |
5890992523 | Practice locations: Bolingbrook, IL |
National Provider Directory
- Tax ID family
- Bionic Prosthetics and Orthotics Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
303 Quadrangle Dr
Bolingbrook, IL 60440-3443
Mailing address
PO Box 2300
Valparaiso, IN 46384-2300
Phone (219) 791-9200
Other providers in Bolingbrook, IL
- Akansha Bhatt
- Neeta F Bhushan
- Robert J Bick Jr.
- Big Easy PT LLC
- Bevili Billingy
- Molly Funk Birsa
- Jennifer Bitautas
- Dorothy Anne Black
- Blair Tanaka, Inc.
- Guadalupe Blanco
All providers in Bolingbrook, IL · Prosthetic/Orthotic Supplier in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.