# ORTHOPEDIC & SPINE SURGERY ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Bone & Joint
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831239177
- **Authorized official:** MS. SUSAN RYAN (BUSINESS MANAGER)
- **Authorized official phone:** (847) 931-5300

## Contact information

- **Practice address:** 420 W NORTHWEST HWY, SUITE M, BARRINGTON, IL 60010-6837
- **Practice address phone:** (847) 382-6766
- **Practice address fax:** (847) 382-6782
- **Mailing address:** 2350 ROYAL BLVD, 200, ELGIN, IL 60123-4719
- **Mailing address phone:** (847) 931-5300
- **Mailing address fax:** (847) 931-9072

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 05/05/2009