Organization
ADVANCED ORTHOPEDIC AND SPINE CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TROY MD (DIRECTOR)
(708) 599-5000
Entity
Organization
Contact information
Practice address
16255 S. HARLEM AVE, TINLEY PARK, IL 60477
(708) 599-5000
(708) 599-0801
Mailing address
PO BOX 825, BEDFORD PARK, IL 60499-0825
(708) 599-5000
(708) 599-5000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/08/2012
Last updated
04/27/2021
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