Organization Active NPI

Ortho Pro Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Mt Prospect, IL
National Provider Identifier
1245663160
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHO PRO MEDICAL SUPPLY INC
Practice address
401 E Prospect Ave
Suite 112
Mt Prospect, IL 60056-3366
Phone
(773) 818-5369
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Orest Poroch
Title
Secretary/Vicepresident
Phone
(773) 818-5369

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

401 E Prospect Ave
Suite 112
Mt Prospect, IL 60056-3366

Mailing address

401 E Prospect Ave
Suite 112
Mt Prospect, IL 60056-3366
Phone (773) 818-5369

National Provider Directory

National Provider Directory

Locations

401 E Prospect Ave
Ste 112
Mt Prospect, IL 60056
Phone (773) 818-5369

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1245663160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E PROSPECT AVE",
            "address_2": "SUITE 112",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563366",
            "telephone_number": "773-818-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E PROSPECT AVE",
            "address_2": "SUITE 112",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563366",
            "telephone_number": "773-818-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO PRO MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "POROCH",
        "authorized_official_first_name": "OREST",
        "authorized_official_title_or_position": "SECRETARY/VICEPRESIDENT",
        "authorized_official_telephone_number": "773-818-5369"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.