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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, S.C.

NPI Number 1700140613
LBN Legal business name MIDAMERICA ORTHOPAEDICS, S.C.
Authorized official ANTON FAKHOURI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2012
Last updated 06/26/2012 - About 14 years ago
Identifiers
IL License # 036-084909
IL License # 036-095853
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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