# ADVANCED ORTHOPEDIC CLINIC LLC

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

## Provider details

- **NPI number:** 1396765848
- **Authorized official:** DR. MAURICE HAROLD MILLER M.D. (CEO/OWNER)
- **Authorized official phone:** (618) 288-8885

## Contact information

- **Practice address:** 3 COUNTRY CLUB EXECUTIVE PARK, SUITE 100, GLEN CARBON, IL 62034-1583
- **Practice address phone:** (618) 288-8885
- **Practice address fax:** (618) 288-8886
- **Mailing address:** 3 COUNTRY CLUB EXECUTIVE PARK, SUITE 100, GLEN CARBON, IL 62034-1583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036060200 | IL | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 06/13/2008