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Organization
ORTHOPAEDIC SURGERY SPECIALISTS LTD
Active
Organization
ORTHOPAEDIC SURGERY SPECIALISTS LTD
Active
Other names
Physical Therapy Institute of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HO MIN LIM MD (PRESIDENT)
(847) 824-3198
Entity
Organization
Contact information
Practice address
1009 IL ROUTE 22, SUITE 2, FOX RIVER GROVE, IL 60021-1998
(847) 842-9366
(847) 842-9467
Mailing address
1550 N NORTHWEST HWY, SUITE 220, PARK RIDGE, IL 60068-1411
(847) 298-7024
(847) 298-7155
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1224510002
MEDICARE DME SUPPLIER
IL
Enumeration date
05/18/2008
Last updated
09/30/2012
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