Dupage Prosthetic - Orthotic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DUPAGE PROSTHETIC - ORTHOTIC

Practice address

121 E Roosevelt Rd
Suite B
Lombard, IL 60148-4561

Phone

(630) 261-9317

Fax

(630) 261-9319

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John E Rooney, C.P. CPED.

Title

President

Phone

(630) 261-9317

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Dupage Prosthetic - Orthotic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dupage Prosthetic-Orthotic Service Inc.

  • Prosthetic/Orthotic Supplier
  • Naperville, IL
  • NPI 1679859029
  NPD tax ID
• Dupage Prosthetic-Orthotic Services

  • Prosthetic/Orthotic Supplier
  • Iron River, MI
  • NPI 1700203510
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Rooney, C.PED

  • Pedorthist
  • Lombard, IL
  • NPI 1962979534
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1740466101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E ROOSEVELT RD",
            "address_2": "SUITE B",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484561",
            "telephone_number": "630-261-9317",
            "fax_number": "630-261-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E ROOSEVELT RD",
            "address_2": "SUITE B",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484561",
            "telephone_number": "630-261-9317",
            "fax_number": "630-261-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE PROSTHETIC - ORTHOTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-261-9317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P. CPED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dupage Medical Group LTD
• Dupage Medical Group, LTD.
• Dupage Medical Group, LTD.
• Dupage Medical Group, LTD.
• Dupage Ophthalmology
• Dupage Pulmonary Associates LLC
• Dupage Senior Citizen Council
• Dupage Sleep Center LLC
• Kathleen Ann Durbin, LCSW
• Natalie Durec

• Durable Medical Equipment & Medical Supplies in Lombard, IL
• Providers in Lombard, 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 Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.