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Organization
PREMIER ORTHOPAEDIC AND HAND CENTER, SC
Active
Organization
PREMIER ORTHOPAEDIC AND HAND CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI JEFFERS (PRACTICE MANAGER)
(708) 957-0505
Entity
Organization
Contact information
Practice address
19801 GOVERNORS HIGHWAY, SUITE 160, FLOSSMOOR, IL 60422-7834
(708) 957-0505
(708) 957-0506
Mailing address
19801 GOVERNORS HWY, STE 160, FLOSSMOOR, IL 60422-7834
(708) 957-0505
(708) 957-0506
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042619353
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01601075
BLUE SHIELD ILLINOIS
IL
05
—
200979570A
—
IN
Enumeration date
03/05/2009
Last updated
11/04/2025
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