# ORTHOPEDIC & SPINE SURGERY ASSOC LTD

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

## Provider details

- **NPI number:** 1871937201
- **Authorized official:** DR. MICHAEL GITELIS MD (PRESIDENT)
- **Authorized official phone:** (847) 931-5300

## Contact information

- **Practice address:** 1710 N RANDALL RD, SUITE 140, ELGIN, IL 60123-9400
- **Practice address phone:** (224) 293-1170
- **Mailing address:** 2350 ROYAL BLVD, SUITE 200, ELGIN, IL 60123-4719
- **Mailing address phone:** (847) 931-5300
- **Mailing address fax:** (847) 931-5321

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2013
- **Last updated:** 04/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 208821 | MEDICARE TIN | — |