Organization Active NPI

Ability Prosthetic and Orthotic Care Inc.

  • Prosthetic/Orthotic Supplier
  • Oak Lawn, IL
National Provider Identifier
1982011102
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
211.000279 Issued in IL
Legal business name
ABILITY PROSTHETIC AND ORTHOTIC CARE INC.
Practice address
4710 W 95TH St
Suite 11
Oak Lawn, IL 60453-2546
Phone
(708) 529-0753
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Mr. Nacer KhenoucheNPI 1093123994
Title
Certified Prosthetist and Orthotist
Phone
(708) 529-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 211.000279 IL Primary

Addresses

Primary practice location

4710 W 95TH St
Suite 11
Oak Lawn, IL 60453-2546

Mailing address

4710 W 95TH St
Suite 11
Oak Lawn, IL 60453-2546
Phone (708) 529-0753

National Provider Directory

National Provider Directory

Locations

4710 W 95th St
Ste 11
Oak Lawn, IL 60453
Phone (708) 529-0753

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1982011102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 W 95TH ST",
            "address_2": "SUITE 11",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532546",
            "telephone_number": "708-529-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 W 95TH ST",
            "address_2": "SUITE 11",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532546",
            "telephone_number": "708-529-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY PROSTHETIC AND ORTHOTIC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "KHENOUCHE",
        "authorized_official_first_name": "NACER",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST AND ORTHOTIST",
        "authorized_official_telephone_number": "708-529-0753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "211.000279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.