# PEAK ORTHOPAEDIC & SPORTS CARESC

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

## Provider details

- **NPI number:** 1114106242
- **Authorized official:** LINDA KUBINSKI (OFFICE MANAGER)
- **Authorized official phone:** (815) 673-3223

## Contact information

- **Practice address:** 104 W 6TH ST, STREATOR, IL 61364-2899
- **Practice address phone:** (815) 673-3223
- **Practice address fax:** (815) 673-3305
- **Mailing address:** 104 W 6TH ST, STREATOR, IL 61364-2899
- **Mailing address phone:** (815) 673-3223
- **Mailing address fax:** (815) 673-3305

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 03/11/2008