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Organization
MIDWEST ORTHOPEDIC CONSULTANTS SC
Active
Organization
MIDWEST ORTHOPEDIC CONSULTANTS SC
Active
Other names
Midwest Orthopaedic Consultants SC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE RAFTERY (DIRECTOR OF OPERATIONS)
(708) 226-3300
Entity
Organization
Contact information
Practice address
10719 WEST 160TH STREET, ORLAND PARK, IL 60467-5541
(708) 226-3300
(708) 226-4204
Mailing address
10719 160TH ST, ORLAND PARK, IL 60467-5541
(708) 226-3300
(708) 226-3020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619967
BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
IL
01
—
363420
MEDICARE GROUP PROVIDER NUMBER
IL
01
—
CL4152
RAILROAD MEDICARE GROUP PROVIDER NUMBER
IL
Enumeration date
07/24/2006
Last updated
10/24/2024
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