# ORTHOPAEDIC SURGERY SPECIALISTS LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Therapy Institute of Illinois
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790942894
- **Authorized official:** DR. HO MIN LIM MD (PRESIDENT)
- **Authorized official phone:** (847) 824-3198

## Contact information

- **Practice address:** 1009 IL ROUTE 22, SUITE 2, FOX RIVER GROVE, IL 60021-1998
- **Practice address phone:** (847) 842-9366
- **Practice address fax:** (847) 842-9467
- **Mailing address:** 1550 N NORTHWEST HWY, SUITE 220, PARK RIDGE, IL 60068-1411
- **Mailing address phone:** (847) 298-7024
- **Mailing address fax:** (847) 298-7155

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2008
- **Last updated:** 09/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1224510002 | MEDICARE DME SUPPLIER | IL |