# RIVERSIDE ORTHOPEDICS, LTD

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

## Provider details

- **NPI number:** 1316051741
- **Authorized official:** TARIQ BIN IFTIKHAR MD (ORTHOPEDIC SURGEON)
- **Authorized official phone:** (708) 484-9480

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 036047917 | IL | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 08/26/2008
