Organization
BUFFALO GROVE ORTHOPAEDIC ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N. STAMELOS M.D. (PRESIDENT)
(847) 520-8900
Entity
Organization
Contact information
Practice address
600 W LAKE COOK RD, SUITE 160, BUFFALO GROVE, IL 60089-2091
(847) 520-8900
(847) 520-9190
Mailing address
600 W LAKE COOK RD, SUITE 160, BUFFALO GROVE, IL 60089-2091
(847) 520-8900
(847) 520-9190
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619562
BLUE CROSS BLUE SHIELD
IL
01
—
C31320
MEDICARE RAILROAD
—
Enumeration date
05/09/2006
Last updated
04/01/2008
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