# OVATION HAND INSTITUTE-ILLINOIS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OVATION HAND INSTITUTE, LLC
- **Other names:** Ovation Hand Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750849428
- **Legal business name:** OVATION HAND INSTITUTE, LLC
- **Authorized official:** TARRAH O'DONNELL PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (844) 432-1600

## Contact information

- **Practice address:** 737 N MICHIGAN AVE STE 2200, CHICAGO, IL 60611-6750
- **Practice address phone:** (844) 432-1600
- **Practice address fax:** (920) 915-9210
- **Mailing address:** 10532 N PORT WASHINGTON RD STE 1A, MEQUON, WI 53092-5563
- **Mailing address phone:** (844) 432-1600
- **Mailing address fax:** (262) 302-4075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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