14D1103069 CLIA NUMBER - SOUTH CHICAGO SURGICAL SOLUTIONS

Laboratory Demographics

CLIA Number: 14D1103069

Facility Name: SOUTH CHICAGO SURGICAL SOLUTIONS

Facility Address:
16450 S 104TH AVENUE
ORLAND PARK, IL
ZIP 60467
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Facility Phone Number: 708 364-8441

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1346343936

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 14D1103069
LAB Type Ambulatory Surgery Center
Facility Name SOUTH CHICAGO SURGICAL SOLUTIONS
Street 16450 S 104TH AVENUE
City ORLAND PARK
State IL
ZIP 60467
Phone 708 364-8441
CertificateType 4
CertificateEffectiveDate 7/31/2023
CertificateExpirationDate 7/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024