# WESTGATE ORTHOPAEDICS, LTD.

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

## Provider details

- **NPI number:** 1639299712
- **Authorized official:** DR. EDWARD BOONE BRACKETT III M.D. (PRESIDENT)
- **Authorized official phone:** (708) 848-7700

## Contact information

- **Practice address:** 1125 WESTGATE ST, OAK PARK, IL 60301-1007
- **Practice address phone:** (708) 848-7700
- **Practice address fax:** (708) 848-9375
- **Mailing address:** 1125 WESTGATE ST, OAK PARK, IL 60301-1007
- **Mailing address phone:** (708) 848-7700
- **Mailing address fax:** (708) 848-9375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 36-37881 | IL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036037881 | — | IL |