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Organization

RIVERSIDE ORTHOPEDICS, LTD

Active
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Organization

RIVERSIDE ORTHOPEDICS, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARIQ BIN IFTIKHAR MD (ORTHOPEDIC SURGEON)
(708) 484-9480
Entity
Organization

Contact information

Practice address
6641 WEST OGDEN AVENUE, BERWYN, IL 60402-3756
(708) 484-9480
(708) 484-9482
Mailing address
6641 WEST OGDEN AVENUE, BERWYN, IL 60402-3756
(708) 484-9480
(708) 484-9482

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036047917
IL

Other

Enumeration date
08/19/2006
Last updated
08/26/2008
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