# NORTHWEST ORTHOPEDIC SURGERY SC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST ORTHOPEDIC SURGERY SC
- **Other names:** Northwest Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699987974
- **Legal business name:** NORTHWEST ORTHOPEDIC SURGERY SC
- **Authorized official:** DR. RICHARD A MANNION M.D. (PRESIDENT)
- **Authorized official phone:** (847) 870-4200

## Contact information

- **Practice address:** 1430 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-4830
- **Practice address phone:** (847) 818-3570
- **Practice address fax:** (847) 870-0059
- **Mailing address:** 1120 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-4767
- **Mailing address phone:** (847) 870-4200
- **Mailing address fax:** (847) 870-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 42-3132 | IL | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 10/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01634499 | BCBS | IL |