MIDAMERICA ORTHOPAEDICS S.C. NPI 1700140613

NPI Details

MIDAMERICA ORTHOPAEDICS, S.C. is an orthopaedic surgery in Mokena, 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. MIDAMERICA ORTHOPAEDICS, S.C. NPI is 1700140613. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Midamerica Hand To Shoulder Clinic.

The provider's business location address is:

19065 HICKORY CREEK DR
SUITE 210
MOKENA, IL
ZIP 60448-507
Phone: (708) 237-7200
Fax: (815) 838-0590

The provider's authorized official is Anton J Fakhouri .
The authorized official title is President and has the following contact phone number (708) 237-7200.

The CLIA number assigned to this NPI record is 14D2168951 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2012 and was last updated on 6/26/2012.

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: