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Organization
ADVANCED ORTHOPEDIC AND SPINE CARE SC
Active
Organization
ADVANCED ORTHOPEDIC AND SPINE CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TROY MD (DIRECTOR)
(708) 599-5000
Entity
Organization
Contact information
Practice address
16255 S. HARLEM AVE, TINLEY PARK, IL 60477
(708) 599-5000
(708) 599-0801
Mailing address
PO BOX 825, BEDFORD PARK, IL 60499-0825
(708) 599-5000
(708) 599-5000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
10/08/2012
Last updated
04/27/2021
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