TERRY LIGHT MD NPI 1578537874

NPI Information

Terry Light, MD is a hand surgery orthopaedic surgery in Maywood, IL. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Terry Light, MD NPI is 1578537874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2160 S FIRST AVE
101-1740, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-4570
Fax: (708) 216-5858

The NPI 1578537874 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 8/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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