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Organization
MIDAMERICA ORTHOPAEDICS, S.C.
Active
Organization
MIDAMERICA ORTHOPAEDICS, S.C.
Active
Other names
MidAmerica Hand to Shoulder Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTON J FAKHOURI M.D. (PRESIDENT)
(708) 237-7200
Entity
Organization
Contact information
Practice address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7201
Mailing address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7252
(708) 237-7274
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
036-096721
IL
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
036-076397
IL
Other
Enumeration date
07/10/2012
Last updated
06/27/2022
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