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Contact Information

ADVANCED ORTHOPEDIC & SPORTS INJURY CENTER, LTD.
2626 WASHINGTON ST
WAUKEGAN, IL60085
 Phone: 847-599-9500
 Fax: 847-599-9485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ADVANCED ORTHOPEDIC & SPORTS INJURY CENTER, LTD.

NPI # 1710199906
LBN Legal business name ADVANCED ORTHOPEDIC & SPORTS INJURY CENTER, LTD.
Authorized official DAVID FETTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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