Active NPI
Reichert Prosthetics & Orthotics, LLC
- Prosthetic/Orthotic Supplier
- Libertyville, IL
National Provider Identifier
1376897140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- REICHERT PROSTHETICS & ORTHOTICS, LLC
- Practice address
- 708 Florsheim Dr
Suite 13
Libertyville, IL 60048-5001 - Phone
- (847) 549-3464
- Fax
- (847) 549-3393
- NPI assigned
- Nov 1, 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
- Mrs. Janice M Dupont
- Title
- Office Manager
- Phone
- (262) 654-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
708 Florsheim Dr
Suite 13
Libertyville, IL 60048-5001
Mailing address
5027 Green Bay Rd
Suite 124
Kenosha, WI 53144-1771
Phone (262) 654-4300
National Provider Directory
National Provider DirectoryLocations
708 Florsheim Dr
Ste 13
Libertyville, IL 60048
Phone (847) 549-3464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351728000000",
"number": "1376897140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5027 GREEN BAY RD",
"address_2": "SUITE 124",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441771",
"telephone_number": "262-654-4300",
"fax_number": "262-654-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 FLORSHEIM DR",
"address_2": "SUITE 13",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485001",
"telephone_number": "847-549-3464",
"fax_number": "847-549-3393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REICHERT PROSTHETICS & ORTHOTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-01",
"last_updated": "2012-11-01",
"status": "A",
"authorized_official_last_name": "DUPONT",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "262-654-4300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.