# BERWYN ORTHOPEDIC SURGEONS, LTD.

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

## Provider details

- **NPI number:** 1588639769
- **Authorized official:** DR. ASOK K RAY M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (630) 718-0200

## Contact information

- **Practice address:** 3231 EUCLID AVE, BERWYN, IL 60402-3471
- **Practice address phone:** (708) 484-1530
- **Practice address fax:** (708) 788-1571
- **Mailing address:** 1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
- **Mailing address phone:** (630) 718-0200
- **Mailing address fax:** (630) 718-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0160977859 | BLUE CROSS / BLUE SHIELD | IL |