Organization
ORTHOPAEDIC ASSOCIATES OF HAMMOND, INC.
Active
Other names
Orthopaedic Associates of Munster, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD J BURCZYK JR. (EXECUTIVE ADMINISTRATOR)
(219) 836-0296
Entity
Organization
Contact information
Practice address
9034 COLUMBIA AVE, MUNSTER, IN 46321-2905
(219) 836-0296
(219) 836-0570
Mailing address
9034 COLUMBIA AVE, MUNSTER, IN 46321-2905
(219) 836-0296
(219) 836-0570
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91115486
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
03/14/2007
Last updated
04/20/2008
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