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Contact Information

MIDAMERICA ORTHOPAEDICS, S.C.
19065 HICKORY CREEK DR
SUITE 210
MOKENA, IL60448-8507
 Phone: 708-237-7200
 Fax: 815-838-0590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MIDAMERICA ORTHOPAEDICS SC · (Female)

NPI # 1700140613
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2012
Last updated 06/26/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036-084909
  • IL License # 036-095853
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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