Keller Orthotics Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KELLER ORTHOTICS INC

Practice address

524 E Northwest Hwy
Mount Prospect, IL 60056-3306

Phone

(847) 394-1182

Fax

(847) 394-1428

NPI assigned

Apr 14, 2011

Organization subpart

Yes

Parent organization

KELLER ORTHOTICS INCAs reported in NPPES

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

Authorized official

Name

Ms. Rose Keller

Title

Manager

Phone

(773) 929-4700

Specialties & licenses 1

Addresses

Part of

Keller Orthotics Inc

Locations

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1215227996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141509",
            "telephone_number": "773-929-4700",
            "fax_number": "773-929-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563306",
            "telephone_number": "847-394-1182",
            "fax_number": "847-394-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER ORTHOTICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLER ORTHOTICS INC",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-929-4700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Kanappilly, APN-CNP
• Jennifer Kannookaden
• Jessica Kantoch
• Kathy Pawlksienica DDS PC Dba Prospect Dental (Prospect Dental)
• Katie Smoron LLC (Chicago Craniofacial Pain & Rehabilitation)
• Vincent J Kelley, LCSW
• Kenneth Young Center
• Kenneth Young Center
• Phyllis Kerendian, M.A.T., CCC
• Laura Kezdi-Hamzeloo, L.C.P.C.

• Durable Medical Equipment & Medical Supplies in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.