# BUFFALO GROVE ORTHOPAEDIC ASSOCIATES SC

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

## Provider details

- **NPI number:** 1053360818
- **Authorized official:** DR. JOHN N. STAMELOS M.D. (PRESIDENT)
- **Authorized official phone:** (847) 520-8900

## Contact information

- **Practice address:** 600 W LAKE COOK RD, SUITE 160, BUFFALO GROVE, IL 60089-2091
- **Practice address phone:** (847) 520-8900
- **Practice address fax:** (847) 520-9190
- **Mailing address:** 600 W LAKE COOK RD, SUITE 160, BUFFALO GROVE, IL 60089-2091
- **Mailing address phone:** (847) 520-8900
- **Mailing address fax:** (847) 520-9190

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 04/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1619562 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | C31320 | MEDICARE RAILROAD | — |