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Contact Information

ADVANCED ORTHOPEDIC CLINIC LLC
3 COUNTRY CLUB EXECUTIVE PARK
SUITE 100
GLEN CARBON, IL62034-1583
 Phone: 618-288-8885
 Fax: 618-288-8886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADVANCED ORTHOPEDIC CLINIC LLC

NPI Number 1396765848
LBN Legal business name ADVANCED ORTHOPEDIC CLINIC LLC
Authorized official MAURICE MILLER - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2006
Last updated 06/13/2008 - About 18 years ago
Identifiers
IL License # 036060200
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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