NV Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

04254422 Issued in IL

Legal business name

NV ORTHOTICS

Practice address

1675 W Dempster St
Park Ridge, IL 60068-1110

Phone

(708) 651-2564

NPI assigned

Mar 11, 2013

Last updated

Mar 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Allen Novak, CONPI 1568509040

Title

Owner/Orthotist

Phone

(708) 651-2564

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Allen Novak, MS, CO

  • Orthotist
  • Burr Ridge, IL
  • NPI 1568509040
  NPD (past) Authorized official

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1245571660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 ELLINGTON AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582034",
            "telephone_number": "708-651-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 W DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681110",
            "telephone_number": "708-651-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NV ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/ORTHOTIST",
        "authorized_official_telephone_number": "708-651-2564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "04254422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rae Nuckols, D.O.
• Dennis Dy Nuguid, PHARM D
• Sasha Nuhn
• Nurse Experts LLC
• Doris F Nussenbaum, M.D.
• Michael O'Brien, DO
• Kaitlin O'Dea
• Patrick Breece O'Donnell, L.C.S.W.
• Kathy Marie O'Grady, LCSW
• Susan O'Grady, PSY. D.

• Prosthetic/Orthotic Supplier in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.