ILLINOIS SPORTS MEDICINE & ORTHOPEDIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Morton Grove, IL. ILLINOIS SPORTS MEDICINE & ORTHOPEDIC SURGERY CENTER, LLC NPI is 1710037452. The provider is registered as an organization entity type.
The provider's business location address is:
9000 WAUKEGAN RD
SUITE 120
MORTON GROVE, IL
ZIP 60053-127
Phone: (847) 213-5444
Fax: (847) 213-5499
The provider's authorized official is Larry J Parrish .
The authorized official title is Administrator and has the following contact phone number (847) 213-5455.
The CLIA number assigned to this NPI record is 14D1060064 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.