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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
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7201
Mailing address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7201
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
06/19/2009
Last updated
01/31/2024
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