Active NPI
KJT Medical LLC
- Prosthetic/Orthotic Supplier
- Oak Brook, IL
National Provider Identifier
1790644169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.