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Organization
MIDAMERICA ORTHOPAEDICS, S.C.
Active
Organization
MIDAMERICA ORTHOPAEDICS, S.C.
Active
Other names
MidAmerica Hand to Shoulder Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTON J FAKHOURI M.D. (PRESIDENT)
(708) 237-7200
Entity
Organization
Contact information
Practice address
1 TRANSAM PLAZA DR, SUITE 460, OAKBROOK TERRACE, IL 60181-4822
(630) 317-7007
(630) 317-7088
Mailing address
1 TRANSAM PLAZA DR, SUITE 460, OAKBROOK TERRACE, IL 60181-4822
(630) 317-7007
(630) 317-7088
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-076397
IL
207XS0106X
Orthopaedic Hand Surgery Physician
036-076397
IL
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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