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14D2159429 CLIA NUMBER - ILLINOIS ORTHOPEDIC INSTITUTE, LLC

Laboratory Demographics

CLIA Number: 14D2159429

Facility Name: ILLINOIS ORTHOPEDIC INSTITUTE, LLC

Facility Address:
1445 ESSINGTON RD
JOLIET, IL
ZIP 60435
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Facility Phone Number: 815 741-6900

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1295210524

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 14D2159429
LAB Type Physician Office
Facility Name ILLINOIS ORTHOPEDIC INSTITUTE, LLC
Street 1445 ESSINGTON RD
City JOLIET
State IL
ZIP 60435
Phone 815 741-6900
CertificateType 4
CertificateEffectiveDate 12/18/2022
CertificateExpirationDate 12/17/2024
FacilityType Waiver

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