Organization
MEDICAL ALLIANCE FOR CORRECTIVE AND RECONSTRUCTIVE ORTHOPEDIC SURGERY
Active
Other names
MACROS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B MCCLELLAN M.D. (PRESIDENT)
(708) 423-8440
Entity
Organization
Contact information
Practice address
5540 W 111TH ST, OAK LAWN, IL 60453-5574
(708) 423-8440
(708) 658-2958
Mailing address
5540 W 111TH ST, OAK LAWN, IL 60453-5574
(708) 423-8440
(708) 658-2958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036055747
IL
Other
Enumeration date
03/29/2007
Last updated
09/05/2008
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