Organization
HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.
Active
Parent organization
HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.
Other names
Hinsdale Orthopaedic Associates, S.C., P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.
Authorized official
MARY ALICE RADFORD (CREDENTIALING COORDINATOR)
(630) 794-8671
Entity
Organization
Contact information
Practice address
8141 S CALUMET AVE, UNIT 1, MUNSTER, IN 46321
(630) 323-6116
Mailing address
550 W OGDEN AVE, ATTN MARY ALICE RADFORD, HINSDALE, IL 60521-3186
(630) 794-8671
(630) 794-8629
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
50005393A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500005393A
MEDICAL CORPORATION LICENSE
IN
Enumeration date
11/30/2017
Last updated
11/30/2017
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