# ADVANCED ORTHOPEDIC AND SPINE CARE SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013269547
- **Authorized official:** DANIEL TROY MD (DIRECTOR)
- **Authorized official phone:** (708) 599-5000

## Contact information

- **Practice address:** 16255 S. HARLEM AVE, TINLEY PARK, IL 60477
- **Practice address phone:** (708) 599-5000
- **Practice address fax:** (708) 599-0801
- **Mailing address:** PO BOX 825, BEDFORD PARK, IL 60499-0825
- **Mailing address phone:** (708) 599-5000
- **Mailing address fax:** (708) 599-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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