Organization Active NPI

KJT Medical LLC

  • Prosthetic/Orthotic Supplier
  • Oak Brook, IL
National Provider Identifier
1790644169
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KJT MEDICAL LLC
Practice address
1100 Jorie Blvd Ste 368
Oak Brook, IL 60523-4438
Phone
(312) 593-1633
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Timothy White
Title
Member Manager
Phone
(312) 593-1633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1100 Jorie Blvd Ste 368
Oak Brook, IL 60523-4438

Mailing address

1100 Jorie Blvd Ste 368
Oak Brook, IL 60523-4438

National Provider Directory

National Provider Directory

Locations

1100 Jorie Blvd
Ste 368
Oak Brook, IL 60523
Phone (312) 593-1633

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1790644169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 368",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 368",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234438",
            "telephone_number": "312-593-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "312-593-1633"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.