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14D2156229 CLIA NUMBER - GOLD COAST ORTHOPEDICS & REHABILITATION, LTD

Laboratory Demographics

CLIA Number: 14D2156229

Facility Name: GOLD COAST ORTHOPEDICS & REHABILITATION, LTD

Facility Address:
19070 EVERETT BLVD - STE 108
MOKENA, IL
ZIP 60448
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Facility Phone Number: 708 978-7033

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1194887166

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 14D2156229
LAB Type Physician Office
Facility Name GOLD COAST ORTHOPEDICS & REHABILITATION, LTD
Street 19070 EVERETT BLVD - STE 108
City MOKENA
State IL
ZIP 60448
Phone 708 978-7033
CertificateType 4
CertificateEffectiveDate 10/12/2022
CertificateExpirationDate 10/11/2024
FacilityType Waiver

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