Healthcare Provider Details

I. General information

NPI: 1538383260
Provider Name (Legal Business Name): WOODFIELD ORTHO SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37W002 MOOSEHEART RD
BATAVIA IL
60539-1022
US

IV. Provider business mailing address

37W002 MOOSEHEART RD
BATAVIA IL
60539-1022
US

V. Phone/Fax

Practice location:
  • Phone: 847-382-3222
  • Fax: 847-382-3223
Mailing address:
  • Phone: 847-382-3222
  • Fax: 847-382-3223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO 1980
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO 1980
License Number StateIL

VIII. Authorized Official

Name: MR. BRETT TYLER KRAMER
Title or Position: ORTHOTIST PROSTHETIST
Credential: CPO
Phone: 847-382-3222