# SUBURBAN ORTHOPAEDICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suburban Orthopaedics Ltd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821410929
- **Authorized official:** EDWARD ORTIZ (PRACTICE & COMPLIANCE ADMINISTRATOR)
- **Authorized official phone:** (630) 372-1100

## Contact information

- **Practice address:** 1229 W RANDOLPH ST, CHICAGO, IL 60607-1627
- **Practice address phone:** (630) 233-7029
- **Mailing address:** 1110 W SCHICK RD, BARTLETT, IL 60103-3007
- **Mailing address phone:** (630) 233-7029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036064932 | IL | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 09/08/2023