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Organization
OVATION HAND INSTITUTE-ILLINOIS, LTD
Active
Organization
OVATION HAND INSTITUTE-ILLINOIS, LTD
Active
Parent organization
OVATION HAND INSTITUTE, LLC
Other names
Ovation Hand Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
OVATION HAND INSTITUTE, LLC
Authorized official
TARRAH O'DONNELL PA-C (PHYSICIAN ASSISTANT)
(844) 432-1600
Entity
Organization
Contact information
Practice address
737 N MICHIGAN AVE STE 2200, CHICAGO, IL 60611-6750
(844) 432-1600
(920) 915-9210
Mailing address
10532 N PORT WASHINGTON RD STE 1A, MEQUON, WI 53092-5563
(844) 432-1600
(262) 302-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
NULL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/12/2019
Last updated
01/05/2024
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