Organization
ORTHOPAEDIC AND REHABILITATION CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GUADALUPE MARTINEZ (ADMINISTRATOR)
(773) 878-6233
Entity
Organization
Contact information
Practice address
1431 N WESTERN AVE, SUITE 510, CHICAGO, IL 60622-1797
(312) 633-5866
(312) 633-5867
Mailing address
5616 N WESTERN AVE, CHICAGO, IL 60659-5113
(773) 878-6233
(773) 878-2688
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042.004341
IL
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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