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ORTHOPEDIC SPECIALISTS SC NPI 1427123926


NPI Information

NPI: 1427123926
Provider Name: ORTHOPEDIC SPECIALISTS SC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
675 W NORTH AVE
SUITE314
MELROSE PARK, IL
ZIP 60160
Phone: (630) 782-9600
Get Directions

ORTHOPEDIC SPECIALISTS SC is an orthopaedic surgery in Melrose Park, IL. The provider is 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. ORTHOPEDIC SPECIALISTS SC NPI is 1427123926. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

675 W NORTH AVE
SUITE314
MELROSE PARK, IL
ZIP 60160-634
Phone: (630) 782-9600
Fax: (630) 782-1643

The provider's authorized official is Kelly Pancamo .
The authorized official title is Billing Supervisor and has the following contact phone number (630) 333-4447.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 2/10/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
2213ES0103XPodiatristFoot & Ankle Surgery016005007ILLINOISNo
3363A00000XPhysician AssistantNo
4207X00000XOrthopaedic SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1210678MEDICARE PINILLINOIS
20139440001MEDICARE NSC
302222323OTHERILLINOISBCBS
4947360MEDICARE PINILLINOIS

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: 4/28/2024

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