Healthcare Provider Details

I. General information

NPI: 1417877705
Provider Name (Legal Business Name): PR ORTHOTICS & OT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 E WOODFIELD RD STE 816
SCHAUMBURG IL
60173-5133
US

IV. Provider business mailing address

1701 E WOODFIELD RD STE 816
SCHAUMBURG IL
60173-5133
US

V. Phone/Fax

Practice location:
  • Phone: 224-470-8550
  • Fax: 224-470-8553
Mailing address:
  • Phone: 224-470-8550
  • Fax: 224-470-8553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA LOUISE ROGEL
Title or Position: OWNER
Credential: CO, LO
Phone: 224-470-8550