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Organization
THE CENTER FOR SPORTS ORTHOPAEDICS S.C.
Active
Organization
THE CENTER FOR SPORTS ORTHOPAEDICS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE SUCHY DO (PRESIDENT)
(847) 884-7771
Entity
Organization
Contact information
Practice address
1585 BARRINGTON RD, 101, HOFFMAN ESTATES, IL 60169-1090
(847) 884-7771
(847) 884-0666
Mailing address
1585 BARRINGTON RD, 101, HOFFMAN ESTATES, IL 60169-5019
(847) 884-7771
(847) 884-0666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42006967
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618989
BCBS OF ILLINOIS
IL
01
—
CL6988
MEDICARE RR
IL
Enumeration date
12/14/2006
Last updated
04/07/2017
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