O & P Innovations

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

213-000023 Issued in IL

Legal business name

O & P INNOVATIONS

Practice address

330 Forest Dr
Crystal Lake, IL 60014-7351

Phone

(847) 754-7434

NPI assigned

Aug 29, 2009

Last updated

Aug 29, 2009By 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

Patrick Flanagan, CO FAAOP

Title

Director of Clinical Services

Phone

(847) 754-7434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251504000000",
    "number": "1700019304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FOREST DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FOREST DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147351",
            "telephone_number": "847-754-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O & P INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-29",
        "last_updated": "2009-08-29",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "847-754-7434",
        "authorized_official_credential": "CO FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "213-000023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Crystal Lake, IL
• Providers in Crystal Lake, 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 Aug 29, 2009; 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.