# MIDLAND ORTHOPEDIC ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midland Othopedic Associates S C
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104863638
- **Authorized official:** DANIEL GOGGIN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (312) 842-4600

## Contact information

- **Practice address:** 2850 S WABASH AVE, SUITE 100, CHICAGO, IL 60616-2955
- **Practice address phone:** (312) 842-4600
- **Practice address fax:** (312) 842-8694
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 042007805 | IL | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 10/04/2024