Organization
KSMO ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE ISAILY (SR VP OF OPERATIONS)
(312) 819-2849
Entity
Organization
Contact information
Practice address
4940 W 137TH ST, OVERLAND PARK, KS 66224-5940
(913) 427-0060
(913) 372-5792
Mailing address
710 N DEARBORN ST, CHICAGO, IL 60654-5900
(312) 819-2849
(312) 981-1293
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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