RIVERSIDE ORTHOPEDICS LTD NPI 1316051741

NPI Information

NPI: 1316051741
Provider Name: RIVERSIDE ORTHOPEDICS, LTD
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
6641 WEST OGDEN AVENUE
BERWYN, IL
ZIP 60402
Phone: (708) 484-9480
Get Directions

RIVERSIDE ORTHOPEDICS, LTD is a hand surgery orthopaedic surgery in Berwyn, 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. RIVERSIDE ORTHOPEDICS, LTD NPI is 1316051741. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6641 WEST OGDEN AVENUE
BERWYN, IL
ZIP 60402-756
Phone: (708) 484-9480
Fax: (708) 484-9482

The provider's authorized official is Tariq Bin Iftikhar .
The authorized official title is Orthopedic Surgeon and has the following contact phone number (708) 484-9480.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/26/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0106X	Orthopaedic Surgery	Hand Surgery	036047917	ILLINOIS	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	320541514	OTHER	ILLINOIS	TRICARE
2	036047917	MEDICAID	ILLINOIS
3	P00064487	OTHER	ILLINOIS	RAILROAD MEDICARE
4	01633335	OTHER	ILLINOIS	BCBS
5	=========	OTHER	ILLINOIS	HUMANA
6	205685	MEDICARE PIN	ILLINOIS
7	202841400	OTHER	ILLINOIS	ACS/OWCP
8	AS62001780001	OTHER	ILLINOIS	CIGNA
9	3181386	OTHER	ILLINOIS	AETNA
10	006895400	OTHER	ILLINOIS	FEDERAL BLACK LUNG PROGRA
11	154664	OTHER	ILLINOIS	UNITEDHEALTHCARE
12	2072539	OTHER	ILLINOIS	CIGNA
13	C43546	MEDICARE UPIN	ILLINOIS
14	1343149	OTHER	ILLINOIS	FIRST HEALTH NETWORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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