# ORTHOPEDIC ASSOCIATES OF KANKAKEE SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic Associates of Kankakee SC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720191091
- **Authorized official:** DR. MILTON SMIT M.D. (BOARD PRESIDENT AND PARTNER)
- **Authorized official phone:** (815) 928-8050

## Contact information

- **Practice address:** 400 S KENNEDY DR, SUITE 100, BRADLEY, IL 60915-2685
- **Practice address phone:** (815) 928-8060
- **Practice address fax:** (800) 505-2218
- **Mailing address:** 400 S KENNEDY DR, SUITE 100, BRADLEY, IL 60915-2685
- **Mailing address phone:** (815) 928-8060
- **Mailing address fax:** (800) 505-2218

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 06/27/2016