KEYSTONE ORTHOPEDIC SPECIALISTS S C NPI 1528020559

NPI Information

  • NPI: 1528020559
  • Provider Name: KEYSTONE ORTHOPEDIC SPECIALISTS S C
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 3330 WEST 177TH ST
    SUITE 2C
    HAZEL CREST, IL
    ZIP 60429
  • Phone: (708) 799-1144

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NPI Details

KEYSTONE ORTHOPEDIC SPECIALISTS S C is an orthopaedic surgery in Hazel Crest, 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. KEYSTONE ORTHOPEDIC SPECIALISTS S C NPI is 1528020559. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3330 WEST 177TH ST
SUITE 2C
HAZEL CREST, IL
ZIP 60429
Phone: (708) 799-1144
Fax: (708) 799-4899

The provider's authorized official is Martin Hall .
The authorized official title is Owner and has the following contact phone number (708) 799-1144.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 8/18/2016.

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
1207L00000XAnesthesiologyNo
2363AS0400XPhysician AssistantSurgicalNo
3213E00000XPodiatristNo
4208100000XPhysical Medicine & Rehabilitation036074003ILLINOISNo
5207X00000XOrthopaedic 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101620925OTHERILLINOISBCBS
2407200MEDICARE PININDIANA
3000000095658OTHERINDIANABCBS
41023490002MEDICARE NSCINDIANA
51023490001MEDICARE NSCILLINOIS
6367659000OTHERDEPT OF LABOR
7557620MEDICARE PINILLINOIS
8CE8619OTHERILLINOISRAILROAD MEDICARE
9CE8620OTHERINDIANARAILROAD MEDICARE

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: 11/21/2025

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