# MIDWEST BONE & JOINT SURGERY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1073700449
- **Authorized official:** DR. FELIX F UNGACTA M.D. (ORTHOPEDIC SURGEON)
- **Authorized official phone:** (618) 541-1406

## Contact information

- **Practice address:** 30 APEX DRIVE, SUITE \#1, HIGHLAND, IL 62249-1285
- **Practice address phone:** (618) 654-5400
- **Practice address fax:** (618) 654-8700
- **Mailing address:** 30 APEX DRIVE, SUITE \#1, HIGHLAND, IL 62249-1285
- **Mailing address phone:** (618) 654-5400
- **Mailing address fax:** (618) 654-8700

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 04/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 215632 | MEDICARE GROUP PROVIDER \# | IL |
| 01 | — | K45126 | MEDICARE INDIVIDUAL PVDR\# | IL |