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Contact Information

MIDAMERICA ORTHOPAEDICS, S.C.
10330 S ROBERTS RD
PALOS HILLS, IL60465-1971
 Phone: 708-237-7200
 Fax: 708-237-7201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDAMERICA ORTHOPAEDICS, S.C.

NPI Number 1003171596
LBN Legal business name MIDAMERICA ORTHOPAEDICS, S.C.
Authorized official ANTON FAKHOURI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2012
Last updated 06/27/2022 - About 4 years ago
Identifiers
IL License # 036-076397
IL License # 036-096721
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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