# SPECIALTY ORTHOPAEDICS LLC

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

## Provider details

- **NPI number:** 1235637851
- **Authorized official:** SAMUEL PARK MD (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (630) 743-1337

## Contact information

- **Practice address:** 911 N ELM ST STE 327, HINSDALE, IL 60521-3642
- **Practice address phone:** (630) 387-6589
- **Practice address fax:** (630) 387-9789
- **Mailing address:** 911 N ELM ST STE 327, HINSDALE, IL 60521-3642
- **Mailing address phone:** (630) 387-6589
- **Mailing address fax:** (630) 387-9789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036118586 | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | 036118586 | — | Yes |

## Other

- **Enumeration date:** 01/29/2018
- **Last updated:** 10/12/2022