# ORTHOPEDIC SPECIALISTS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821401316
- **Authorized official:** DR. RYON HENNESSEY MD (PARTNER)
- **Authorized official phone:** (630) 782-9600

## Contact information

- **Practice address:** 360 W BUTTERFIELD RD, \#160, ELMHURST, IL 60126-5068
- **Practice address phone:** (630) 782-9600
- **Practice address fax:** (630) 782-1643
- **Mailing address:** 360 W BUTTERFIELD RD, \#160, ELMHURST, IL 60126-5068
- **Mailing address phone:** (630) 782-9600
- **Mailing address fax:** (630) 782-1643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 085005057 | IL | Yes |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 06/03/2014